Blood antibody screen
Facility: Labette Health
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $49
- Cash Discount Price: $41
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Medicaid / KanCare | $8 - $49 | 15% |
| Healthy Blue | $8 | 15% |
| Multiplan | $8 - $82 | 15% |
| Uhccp | $8 | 15% |
| Montgomery County | $14 - $90 | 26% |
| Humana | $49 | 92% |
| UnitedHealthcare | $49 - $84 | 92% |
| Wellcare | $49 | 92% |
| Blue Cross Blue Shield | $49 - $91 | 92% |
| Kansas Superior Select | $51 | 96% |
| Ambetter / Centene | $57 | 107% |
| Health Partners Of Kansas, Inc | $86 | 162% |
| Choicecare (First Health Network) | $86 | 162% |
Consumer Guidance & Cost Commentary
For the CPT code 86850 (Blood antibody screen) at Labette Health in Parsons, KS, the facility's cash median price is $41.00, which is lower than the state average of $49.00 and the county average of $41.00. While many commercial payers negotiate rates ranging from $49.00 to $91.00, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $41.00. It is important to note that commercial rates often include administrative overhead and contract markups that can inflate the final cost, so verifying the specific allowed amount with your insurer before scheduling is essential to avoid unexpected charges.
When evaluating this service, it is critical to compare the facility's pricing against the Medicare benchmark of $53.24, which serves as the objective baseline for fair pricing rather than the facility's gross charge of $59.00. Although the facility is a government-owned acute care hospital, the cash rate remains below the Medicare amount, suggesting a competitive position. Patients should proactively ask about "self-pay" or "prompt-pay" discounts, which can further reduce the bill by bypassing insurance billing cycles and administrative fees. Additionally, since balance billing protections under the No Surprises Act apply to in-network facilities, patients can rest assured that they will not be billed for the difference between the cash price and the insurance allowed amount if they use an in-network plan.