Blood antibody screen
Facility: University Of Kansas Hospital
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $104
- Cash Discount Price: $53
- vs. Medicare Baseline: 1.95x 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 |
|---|---|---|
| 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.