CMS Price Transparency Data

Blood antibody screen

Facility: University of Colorado Hospital Authority

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $80
Cash Discount Price: $64
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at University of Colorado Hospital Authority is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.50x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$64

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $64 (120%)

Insurance Median: $80 (150%)

Cash: $64 (120% of Medicare)

Ins. Median: $80 (150% 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
Select Health	$24 - $54	45%
UnitedHealthcare	$24 - $52	45%
Cigna	$25 - $54	47%
Blue Cross Blue Shield	$29 - $228	54%
Aetna	$45 - $54	85%
Rocky Mountain Health Plan	$48 - $197	90%
Simplified Benefits Administration	$51 - $143	96%
Cms	$54	101%
Denver Health Medical Plan	$54 - $205	101%
Devoted Health	$54	101%
Humana	$54	101%
Kaiser	$54 - $227	101%
Kaiser Public Option	$57 - $151	107%
Phcs	$80 - $213	150%
Multiplan	$88 - $232	165%
First Health	$102 - $271	192%
Midlands Choice	$102 - $271	192%

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 $64.
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 University of Colorado Hospital Authority 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.