CMS Price Transparency Data

Blood antibody screen

Facility: Medstar Washington Hospital Center

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 0.9× the $53 Medicare rate · typically $11–$65
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Above the fair price
about $16 over the fair price · 1.2× Medicare
Medicare pays $53 Fair price $49 This hospital $65 Cash price $129 Hospital's list price $198

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

Highest price of the 4 DC hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $65

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $49 (about 0.9× the $53 Medicare rate). Medstar Washington Hospital Center charges insurers about $65, or about $129 in cash — above the fair price. Located in Washington, DC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $49. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $57 - $292 107%
Blue Cross Blue Shieldmajor $62 - $108 116%
Aetnamajor $63 - $137 118%
Cignamajor $118 222%
Humanamajor $65 122%
Kaiser Permanentemajor $7 - $99 13%
Amerigroup $8 15%
AmeriHealth $8 15%
+ 3 smaller / regional plans $8 - $239
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals