Blood antibody screen
Facility: Physicians Care Surgical Hospital
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $384
- Cash Discount Price: $307
- vs. Medicare Baseline: 7.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 721% of the Medicare baseline (a markup of 621%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $50 - $430 | 94% |
| Healthez | $50 | 94% |
| Trustmark | $50 | 94% |
| Allied Benefits Systems | $50 | 94% |
| Premier Care Network | $50 | 94% |
| Marpai Health | $50 | 94% |
| Lucent Health | $50 | 94% |
| Ag Administrators Inc | $50 | 94% |
| Ag Administrators | $50 | 94% |
| Allied Benefit Systems | $50 | 94% |
| Geha | $50 | 94% |
| Coventry | $50 | 94% |
| Continental Benefits | $50 | 94% |
| Meritain Health | $50 | 94% |
| Connecticare | $56 | 105% |
| Blue Cross Blue Shield | $96 - $415 | 180% |
| Highmark | $96 | 180% |
| Cigna | $384 | 721% |
| UnitedHealthcare | $384 - $815 | 721% |
| Tricare | $384 | 721% |
| Pcsh Aarp | $384 | 721% |
| Humana | $384 | 721% |
| Unified Health Services | $384 | 721% |
| Personal Choice 65 | $384 | 721% |
| Vibra Health Plan | $384 | 721% |
| Aarp | $384 | 721% |
| Keystone 65 HMO | $384 | 721% |
| Medicare (plans) | $384 | 721% |
| Devon Health Services | $384 | 721% |
| Shenandoah Life | $384 | 721% |
| Gpm Health and Life Insurance Mc Supplement | $384 | 721% |
| Ibc Security 65 | $384 | 721% |
| Independence Bc | $415 | 779% |
| Personal Choice | $415 | 779% |
| Keystone HMO | $415 | 779% |
| Carefirst Administrators | $415 | 779% |
| Regence Blue Shield | $415 | 779% |
| Keystone Healthplan East | $415 | 779% |
| Ibc Local | $415 | 779% |
| Empire Plan | $415 | 779% |
| Amerihealth Administrators | $415 | 779% |
| Ibc | $415 | 779% |
| Amerihealth New Jersey HMO | $415 | 779% |
| Independence Administrators | $415 | 779% |
| Ibc - Local | $415 | 779% |
| Keystone Direct POS | $415 | 779% |
| Horizon of New Jersey | $415 | 779% |
| Pcsh Ibc | $415 | 779% |
| Independence Federal | $415 | 779% |
| Ibc 2021 | $415 | 779% |
| Surest | $815 | 1531% |
| Allsavers | $815 | 1531% |
| Golden Rule Op | $815 | 1531% |
| Oxford Health Plan | $815 | 1531% |
| Oxford Life Insurance Company | $815 | 1531% |