Blood antibody screen
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $39
- Cash Discount Price: $29
- vs. Medicare Baseline: 0.73x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Black Lung [6055] | $39 | 73% |
| Blue Cross Blue Shield | $39 | 73% |
| Hooray Health [8000] | $39 | 73% |
| Healthcare Highways [2210] | $39 | 73% |
| Lucent Health [6000] | $39 | 73% |
| Aetna | $39 | 73% |
| Oncology Patient Assistance Programs [2295] | $39 | 73% |
| Web Tpa [2115] | $39 | 73% |
| Department Of Corrections [1340] | $48 | 90% |
| Healthpartners [1500] | $55 | 103% |
| National Association Of Letter Carriers [1695] | $55 | 103% |
| Cigna | $55 | 103% |
| American Postal Workers Union [1070] | $55 | 103% |
| Humana | $56 | 105% |
| American Healthcare [1055] | $74 | 139% |
| First Health [1375] | $74 | 139% |
| Administrative Concepts [1005] | $74 | 139% |
| Multiplan [1680] | $74 | 139% |
| Coventry Healthcare [1320] | $78 | 147% |
| Ks Disability Determination [6090] | $96 | 180% |
Consumer Guidance & Cost Commentary
For the "Blood antibody screen" procedure at the University Of Kansas Health System - St Francis Campus, the facility's cash median rate of $29.00 is significantly lower than the state average of $96.00, which matches the facility's gross charge. While the Medicare benchmark of $53.24 serves as a reliable cost baseline, the cash price here is notably more affordable than the commercial negotiated rates. Patients with high-deductible plans may find paying the cash rate of $29.00 directly more cost-effective than relying on insurance, as the negotiated rates for in-network payers range from $39.00 to $96.00, often exceeding the cash price due to administrative overhead and contract structures.
It is important to verify your specific plan details before scheduling, as the facility offers a cash median of $29.00, which is lower than the median negotiated amount of $39.00. If you are unsure about your deductible status or plan coverage, contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts is recommended, as these upfront payment incentives can further reduce costs. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is advisable to request a full itemized bill to ensure no unexpected charges are included, as summary bills can sometimes obscure individual line items.