CMS Price Transparency Data

Blood antibody screen

Facility: Flagstaff Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $79
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Flagstaff Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.48x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $70 (131%)
Insurance Median: $79 (148%)
Cash: $70 (131% of Medicare)
Ins. Median: $79 (148% 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.

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
Ahcccs $10 19%
Ahcccs Other $10 19%
Carefirst $10 19%
Devoted $10 - $62 19%
Fmc Jail $10 19%
Health Choice $10 - $114 19%
Health Choice Arizona $10 19%
Health Choice Integrated Care $10 19%
Health Net Of Arizona $10 19%
Mercy Care $10 19%
Mercy Care Rhba $10 19%
Nhi Out Of State Ahcccs $10 19%
UnitedHealthcare $10 - $145 19%
University Of Arizona Health Plans $10 - $64 19%
Va Pccc Triwest $10 - $60 19%
Naphcare $17 - $119 32%
Health Net Federal $56 105%
Aetna $59 - $134 111%
Fmc 30/70 $59 111%
Humana $59 - $149 111%
Medicare (plans) $59 111%
Mercy Care Advantage $59 111%
Rehabilitation Hospital Of Northern Arizona $59 111%
Snf Fmc $59 111%
Wellcare $59 111%
Wellcare By Allwell $59 111%
Fmc Ihs $60 113%
Self Pay $61 - $157 115%
Self-Pay 50% Discount $61 - $79 115%
Ambetter / Centene $67 126%
Blue Cross Blue Shield $71 - $115 133%
Workers Comp $79 - $102 148%
Pnoa $88 165%
Copperpoint $89 - $115 167%
Nau Athletic Department $97 - $126 182%
Cigna $109 - $141 205%
Fmc 90/10 $109 - $141 205%
Rural Arizona Network Multiplan $109 - $141 205%
United Behavioral Health $121 - $157 227%
Auto Insurance $5,000 9391%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals