CMS Price Transparency Data

Blood antibody screen

Facility: Alaska Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $262
Cash Discount Price: $458
vs. Medicare Baseline: 4.92x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Alaska Regional Hospital is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 4.92x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$458

Average discount available for prompt cash payment at this facility.

Insurance Median

$262

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)

Cash / Self-Pay: $458 (860%)

Insurance Median: $262 (492%)

Cash: $458 (860% of Medicare)

Ins. Median: $262 (492% of 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 492% of the Medicare baseline (a markup of 392%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Triwest Healthcare Alliance	$10	19%
United	$10 - $346	19%
Veteran'S Administration	$10	19%
Veterans Evaluation Services	$12	23%
Aetna	$42 - $96	79%
Union Coalition	$135	254%
Union Coalition Cement Masons	$140	263%
Moda Health	$146 - $215	274%
Premerafirst	$227	426%
Geha Ppo Usa	$236 - $401	443%
Cigna	$248	466%
Multiplan	$275 - $426	517%
Coventry Healthcare	$289	543%
First Health	$321	603%
Bering Strait School District	$344	646%
Nreca Group Benefit Trust	$344	646%
Risk & Benefit Management	$344	646%
Banner Health	$366	687%
Matanuska Telephone	$366	687%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $458.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.