CMS Price Transparency Data

Blood antibody screen

Facility: Franciscan Health Indianapolis

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $183
Cash Discount Price: $67
vs. Medicare Baseline: 3.44x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Franciscan Health Indianapolis is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 3.44x the Medicare baseline. Located in 8111 S Emerson Ave, Indianapolis, IN.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$183

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: $67 (126%)

Insurance Median: $183 (344%)

Cash: $67 (126% of Medicare)

Ins. Median: $183 (344% 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 344% of the Medicare baseline (a markup of 244%). 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
Blue Cross Blue Shield	$10 - $217	19%
Mdwise [1175]	$10	19%
Medicaid / KanCare	$10 - $12	19%
Unicare [1150]	$10 - $217	19%
Managed Health Services [1302]	$11	21%
Commercial [2001]	$15 - $290	28%
Managed Care [2000]	$15 - $290	28%
United Medical Resources [1158]	$15	28%
United Medical Resources [1301]	$15	28%
UnitedHealthcare	$15	28%
Medicare (plans)	$55 - $61	103%
Workers Comp [1172]	$110	207%
Aetna	$118 - $201	222%
Cigna	$183 - $185	344%
Great West Insurance [1055]	$187 - $188	351%
Humana	$200 - $202	376%

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 $67.
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 Franciscan Health Indianapolis 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.