CMS Price Transparency Data

Blood antibody screen

Facility: USA Health University Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $44
Cash Discount Price: $119
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at USA Health University Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.83x the Medicare baseline. Located in 2451 Fillingim Street, Mobile, AL.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

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: $119 (224%)

Insurance Median: $44 (83%)

Cash: $119 (224% of Medicare)

Ins. Median: $44 (83% 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.

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
UnitedHealthcare	$6 - $40	11%
Aetna	$10	19%
Blue Cross Blue Shield	$10	19%
Cigna	$10 - $63	19%
Devoted Health	$10 - $92	19%
Humana	$10 - $86	19%
Viva Health	$10 - $66	19%
Wellcare	$10	19%
Molina Marketplace	$11	21%
Ambetter / Centene	$12	23%
Mississippi Physicians Care Network (Mpcn)	$13	24%
Central Healthcare Services	$32 - $66	60%
Magnolia Health	$40	75%
Truecare	$40	75%
Multiplan	$41 - $118	77%
Molina Chip	$44	83%
Naphcare	$45 - $92	85%
Novanet	$57 - $118	107%

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 $119.
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 USA Health University 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.