Blood antibody screen
Facility: Overland Park Reg Med Ctr
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $23
- Cash Discount Price: $438
- vs. Medicare Baseline: 0.43x 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 |
|---|---|---|
| Cigna | $5 - $10 | 9% |
| United | $8 - $197 | 15% |
| Healthyblue | $8 | 15% |
| Amerigroup | $8 | 15% |
| Medicaid / KanCare | $9 | 17% |
| Unicare | $9 | 17% |
| Aetna | $9 - $224 | 17% |
| Coventry | $10 - $176 | 19% |
| Wellcare | $10 | 19% |
| Humana | $10 - $28 | 19% |
| Celtic | $10 | 19% |
| Devoted Health | $10 | 19% |
| Blue Cross Blue Shield | $10 - $188 | 19% |
| Pyramid Life | $10 | 19% |
| Multiplan | $14 - $324 | 26% |
| Oscar | $15 | 28% |
| Oha Network | $17 - $219 | 32% |
| Corvel Corporation | $17 - $285 | 32% |
| Home State Health Plan | $48 | 90% |
| Ambetter / Centene | $82 | 154% |
| Nhc Advantage | $83 | 156% |
| Wppa Providrs Care Network | $88 | 165% |
| Universal Healthcare | $153 | 287% |
| Coventry Kc Mo | $180 | 338% |
| College Park Family Care Center | $188 | 353% |
| Triwest Health Alliance | $329 | 618% |
| Focus Healthcare Mgmt, Inc | $329 | 618% |
| Cco, Inc. | $329 | 618% |
Consumer Guidance & Cost Commentary
For the CPT code 86850, "Blood antibody screen," the Overland Park Reg Med Ctr in Kansas lists a cash price of $438.00, which matches the facility's cash median. This rate is significantly higher than the national average for this service, which is 40% lower than the facility's charge. While the facility's negotiated rates for various payers range from $23.00 to $329.00, these amounts are often inflated by administrative costs and contract structures that can exceed the cash price. For patients with high-deductible plans, paying the cash price of $438.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates paid by insurers can sometimes surpass the cash rate due to multi-layered billing dynamics.
To ensure you are receiving the most accurate and fair price, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should verify if the facility offers a prompt-pay discount, which can reduce the bill by 20% to 50% if paid in full within a short window, bypassing the costly insurance claims process. When comparing costs, always use the Medicare rate of $53.24 as a benchmark for fair pricing rather than the hospital's gross chargemaster, which is often inflated to make discounts appear larger. Finally, check your specific insurance plan's deductible status and allowed amounts, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket expenses than paying cash directly.