CMS Price Transparency Data

Blood antibody screen

Facility: Grady Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $53
  • Cash Discount Price: $421
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Grady Memorial Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.00x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$421

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $421 (791%)
Insurance Median: $53 (100%)
Cash: $421 (791% of Medicare)
Ins. Median: $53 (100% 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
Aetna $10 - $187 19%
Ambetter / Centene $10 - $62 19%
Blue Cross Blue Shield $10 - $337 19%
Cigna $10 - $249 19%
Clear Spring Health $10 - $56 19%
Clover $10 - $56 19%
Humana $10 - $53 19%
Kaiser $10 - $319 19%
Medicare (plans) $10 - $53 19%
UnitedHealthcare $10 - $303 19%
Vaccn $10 - $53 19%
Wellcare $10 - $53 19%
Usp Naphcare $11 - $253 21%
Oscar Health $14 - $274 26%
Amerigroup $15 - $68 28%
Caresource $15 - $85 28%
Peach State $15 - $63 28%
Multiplan $324 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals