CMS Price Transparency Data

Blood antibody screen

Facility: Banner Boswell Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $22
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Banner Boswell Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.41x the Medicare baseline. Located in 13632 N 99Th Ave, Sun City, AZ.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $23 (43%)
Insurance Median: $22 (41%)
Cash: $23 (43% of Medicare)
Ins. Median: $22 (41% 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
Aetna $10 - $92 19%
Arizona Physicians Ipa $10 19%
Banner Health $10 19%
Banner University Health Plan $10 19%
Blue Cross Blue Shield $10 - $39 19%
Care 1St $10 19%
Carelon $10 19%
Cigna $10 - $19 19%
Devoted Health Services $10 19%
Gila River Health Care Corporation $10 19%
Health Choice Arizona, Inc. $10 - $15 19%
Health Net $10 - $14 19%
Humana $10 19%
Kaiser Foundation Health Plan $10 19%
Mercy Care $10 19%
Triwest Healthcare Alliance Corp - Va Ccn $10 19%
UnitedHealthcare $10 - $22 19%
Upmc Health Plan $10 19%
Wellpoint $10 19%
Arizona Priority Care $11 21%
Gold Kidney Health Plan $11 21%
Oscar Health Plan $16 30%
Hospice Of The Valley $40 - $61 75%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $51 - $78 96%
Plotkin Health $51 - $78 96%
Quiktrip Corporation $62 - $94 116%
Provider Network Of America $86 - $130 162%
Arizona Medical Network $91 - $139 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13632 N 99Th Ave, Sun City, AZ 85351
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals