CMS Price Transparency Data

Blood antibody screen

Facility: University Of Kansas Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $104
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at University Of Kansas Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.95x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $53 (100%)
Insurance Median: $104 (195%)
Cash: $53 (100% of Medicare)
Ins. Median: $104 (195% 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
Ku Athletics [503200094] $49 92%
Aetna $49 - $68 92%
Tricare $49 92%
Humana $49 - $50 92%
Medicare (plans) $49 - $50 92%
Lasso Healthcare [503999926] $49 92%
Workers Comp [503999901] $49 - $348 92%
UnitedHealthcare $49 - $78 92%
Larned State Hospital [503200090] $49 - $108 92%
Triwest [503201703] $49 92%
Devoted [503200068] $49 92%
Allwell [503200078] $50 94%
Blue Cross Blue Shield $50 - $281 94%
American Health Plans [503200968] $51 96%
Centurion [5032000966] $63 118%
Health Plan Inc [503999941] $78 - $172 147%
Ambetter / Centene $83 156%
Alt Carelon Behavioral Health [503200905] $84 - $183 158%
Accarent Health [503999034] $84 - $183 158%
Centivo [5032000982] $92 173%
Wellfit [503301514] $92 173%
Oscar [503201609] $92 173%
6 Degrees Health [503999050] $95 - $122 178%
Alt Wppa [5032000964] $97 - $222 182%
Php [503200005] $100 - $270 188%
Allied National [503999937] $100 - $220 188%
Inter-Americas Insurance [503999032] $101 - $222 190%
Med-Pay [503200040] $101 - $222 190%
Healthlink [503200007] $101 - $270 190%
Geha [503200036] $101 - $222 190%
Cerner [503200038] $101 - $222 190%
Occunet [503999930] $102 192%
Fort Hays State Student Athletes [5032000960] $102 192%
Cigna $106 - $293 199%
First Health [5032000110] $110 - $241 207%
Aha-Healthcare Preferred [503200050] $110 - $241 207%
Correct Care Solutions [50311253] $117 - $256 220%
Coeur Plan Services [503301517] $117 - $256 220%
Ascension Living Hope [503201517] $117 - $256 220%
Consolidated Billing [50311256] $117 - $256 220%
Orscheln Industries [503201608] $125 - $274 235%
Alt Lineco [5032000976] $128 - $281 240%
Empire Plan/Nyship [503200705] $128 - $281 240%
Alt Lucent Health Solutions [503202603] $128 - $281 240%
Claimdoc [503301509] $131 246%
Multiplan [503200057] $131 246%
Quiktrip [5032000412] $134 - $293 252%
Century Health Solutions [503200054] $134 - $293 252%
Point Comfort Underwriters [503200018] $134 - $293 252%
Meritain Health [503200039] $140 - $307 263%
Wppa [503200056] $140 - $307 263%
Advanced Medical Pricing Solutions [503301513] $146 274%
Employers Health Network [503999025] $150 - $329 282%
Plan Care America [503999026] $150 - $329 282%
Three Rivers Provider Network [503999029] $150 - $329 282%
Sanford Health Plan [503999027] $150 - $329 282%
Usa Managed Care [503999030] $150 - $329 282%

Consumer Guidance & Cost Commentary

For this blood antibody screen service at University Of Kansas Hospital, the negotiated rates vary significantly by payer, ranging from a low of $49 to a high of $329 across 57 different insurance plans. While the facility's cash price is $53, which is lower than the median negotiated rate of $104, patients should be aware that commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40%. Because the cash price of $53 is notably lower than the median negotiated amount, individuals with high-deductible plans or those who have not yet met their deductible may find it financially advantageous to pay the cash rate directly, provided they secure a "waiver of insurance submission" to avoid automatic claims processing.

The facility's cash rate of $53 is also lower than the Medicare benchmark of $53.24, indicating that the facility's pricing aligns closely with the federal government's cost-based reimbursement standards rather than the typical commercial markup of 200% to 300% often seen in the industry. For patients seeking to minimize costs, it is essential to verify "self-pay" or "prompt-pay" discounts with the hospital before scheduling, as these upfront payment incentives can further reduce the bill by bypassing costly claims processing and collection fees. Given that over 80% of hospital bills contain errors, patients should request a detailed, itemized statement to ensure no unbundled codes or services not rendered are included before finalizing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals