CMS Price Transparency Data

Blood antibody screen

Facility: Mount Sinai Rehabilitation Hospital Inc

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $52
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mount Sinai Rehabilitation Hospital Inc is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.98x the Medicare baseline. Located in 490 Blue Hills Ave, Hartford, CT.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $43 (81%)
Insurance Median: $52 (98%)
Cash: $43 (81% of Medicare)
Ins. Median: $52 (98% 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 - $60 19%
Aetna $11 - $60 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 $33 62%
Cigna $33 - $62 62%
Health Partners $33 62%
Magnacare $33 62%
Blue Cross Blue Shield $40 - $60 75%
Health New England $41 77%
Connecticut Dept Of Correction $50 94%
Bcn Domestic $52 98%
Blue Benefit Administrators Of Massachusetts $52 98%
Blue Care Network $52 98%
Blue Distinction Transplant $52 98%
Blue Shield - Ca $52 98%
Blue Shield - Id (Regence) $52 98%
Blue Shield - Ny Highmark Northeastern $52 98%
Blue Shield - Ny Highmark Western $52 98%
Blue Shield - Pa (Highmark) $52 98%
Blue Shield - Wa (Regence) $52 98%
Health Choices $52 98%
Kaiser Domestic $52 98%
Pre-Employment $52 98%
Unicare $52 98%
Wc Domestic $52 98%
Allied National Global Care $53 100%
Asrm - Reliance Standard Life Insurance $53 100%
Christian Care Ministry $53 100%
Dean Health $53 100%
Family Life Insurance Company $53 100%
Ghc Scw $53 100%
International Benefit Administrators $53 100%
Lifetime Benefit Solutions $53 100%
Manhattan Life $53 100%
Medi Share $53 100%
Multiplan $53 100%
Mvp $53 100%
Pai $53 100%
Pan-American Life $53 100%
Paramount Hmo $53 100%
Phcs $53 100%
Trinity Health Share $53 100%
Medicare (plans) $60 - $62 113%
Cca Senior Care Options $61 115%
Prime Health Services $62 116%
Connecticare $64 - $70 120%
Health Smart $66 124%
Claimdoc $128 240%
Diversified Administrators $128 240%
Innovative Health Plan Ii $128 240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 490 Blue Hills Ave, Hartford, CT 06112
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL