CMS Price Transparency Data

Blood antibody screen

Facility: Phoenix Children's Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Phoenix Children's Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 1919 East Thomas Road, Phoenix, AZ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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%)
Insurance Median: $11 (21%)
Ins. Median: $11 (21% 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
Healthcomp $6 - $60 11%
Intel $6 - $60 11%
Aetna $7 - $110 13%
Ahc Healthchoice $9 17%
Ahc Apipa $10 19%
Ahc Care First $10 19%
Ahc Cmdp $10 19%
Ahc Crs $10 19%
Ahc Ihs $10 19%
Ahc Lcd $10 19%
Ahc Mercy Care $10 19%
Ahccs $10 19%
Antidote $10 - $98 19%
Cigna $10 - $120 19%
UnitedHealthcare $10 19%
Ahc University $11 21%
Multiplan $12 - $120 23%
Blue Cross Blue Shield $15 - $65 28%
Selfpay $22 41%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens