CMS Price Transparency Data
Blood antibody screen
Facility: St Francis Hospital & Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $73
- Cash Discount Price: $59
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at St Francis Hospital & Medical Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.37x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$59
Average discount available for prompt cash payment at this facility.
Insurance Median
$73
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: $59 (111%)
Insurance Median: $73 (137%)
Cash: $59 (111% of Medicare)
Ins. Median: $73 (137% 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 |
|---|---|---|
| Geha | $10 | 19% |
| Harvard Pilgrim Healthcare | $10 | 19% |
| UnitedHealthcare | $10 - $3,879 | 19% |
| Aetna | $11 - $3,803 | 21% |
| Connecticare | $11 - $13 | 21% |
| 1199 National Benefit Fund | $13 | 24% |
| Allied Benefit Systems | $13 | 24% |
| Gravie Admin Services | $13 | 24% |
| Hap | $13 | 24% |
| Luminare Health | $13 | 24% |
| Meritain | $13 | 24% |
| Nippon Life Ins | $13 | 24% |
| Webtpa | $13 | 24% |
| Allegiance | $40 | 75% |
| Cigna | $40 - $3,917 | 75% |
| Health Partners | $40 | 75% |
| Magnacare | $40 | 75% |
| Health New England | $43 - $60 | 81% |
| Allied National Global Care | $53 - $73 | 100% |
| Asrm - Reliance Standard Life Insurance | $53 - $73 | 100% |
| Christian Care Ministry | $53 - $73 | 100% |
| Dean Health | $53 - $73 | 100% |
| Family Life Insurance Company | $53 - $73 | 100% |
| Ghc Scw | $53 - $73 | 100% |
| International Benefit Administrators | $53 - $73 | 100% |
| Lifetime Benefit Solutions | $53 - $73 | 100% |
| Manhattan Life | $53 - $73 | 100% |
| Medi Share | $53 - $73 | 100% |
| Multiplan | $53 - $73 | 100% |
| Mvp | $53 - $73 | 100% |
| PHCS | $53 - $73 | 100% |
| Pai | $53 - $73 | 100% |
| Pan-American Life | $53 - $73 | 100% |
| Paramount HMO | $53 - $73 | 100% |
| Trinity Health Share | $53 - $73 | 100% |
| Prime Health Services | $55 - $76 | 103% |
| Connecticut Dept of Correction | $58 - $3,584 | 109% |
| Blue Cross Blue Shield | $61 - $13,487 | 115% |
| Medicare (plans) | $61 - $3,997 | 115% |
| Cca Senior Care Options | $62 - $3,879 | 116% |
| Health Smart | $66 - $92 | 124% |
| Fallon Health | $81 - $5,045 | 152% |
| Centivo | $125 | 235% |
| Innovative Health Plan II | $131 - $8,150 | 246% |
| Bcn Domestic | $217 - $13,487 | 408% |
| Blue Benefit Administrators of Massachusetts | $217 - $13,487 | 408% |
| Blue Care Network | $217 - $13,487 | 408% |
| Blue Distinction Transplant | $217 - $13,487 | 408% |
| Blue Shield - Ca | $217 - $13,487 | 408% |
| Blue Shield - Id (Regence) | $217 - $13,487 | 408% |
| Blue Shield - Ny Highmark Northeastern | $217 - $13,487 | 408% |
| Blue Shield - Ny Highmark Western | $217 - $13,487 | 408% |
| Blue Shield - PA (Highmark) | $217 - $13,487 | 408% |
| Blue Shield - Wa (Regence) | $217 - $13,487 | 408% |
| Health Choices | $217 - $13,487 | 408% |
| Kaiser Domestic | $217 - $13,487 | 408% |
| Pre-Employment | $217 - $13,487 | 408% |
| Unicare | $217 - $13,487 | 408% |
| Wc Domestic | $217 - $13,487 | 408% |
| Wellpoint | $217 - $13,487 | 408% |