CMS Price Transparency Data

Blood antibody screen

Facility: Athur M Blank Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $151
Cash Discount Price: $221
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Athur M Blank Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.84x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$221

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $221 (415%)

Insurance Median: $151 (284%)

Cash: $221 (415% of Medicare)

Ins. Median: $151 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Caresource [61]	$17	32%
Peachstate [43]	$17	32%
Amerigroup [102]	$20	38%
Cigna	$106 - $186	199%
Blue Cross Blue Shield	$107 - $274	201%
United [5]	$107 - $186	201%
Aetna	$108 - $189	203%
Ambetter / Centene	$108 - $188	203%
Oscar [228]	$108 - $188	203%
Caresource Marketplace Bronze/Silver/Gold [60]	$109 - $191	205%
Kaiser [6]	$110 - $191	207%
Sidecar Health [236]	$111 - $194	208%
Coventry [9]	$113 - $197	212%
Direct Employer Agreements [72]	$113 - $239	212%
First Health [74]	$121 - $211	227%
Northeast Georgia Heatlh System [808]	$121 - $211	227%
Veracity Benefits [809]	$121 - $211	227%
Phcs [93]	$137 - $239	257%
Secure Health [340]	$137 - $239	257%
Beech Street [71]	$145 - $253	272%
Multiplan [92]	$158 - $275	297%
Novanet [41]	$161 - $281	302%

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 $221.
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 Athur M Blank Hospital 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.