Blood antibody screen
Facility: Menorah Medical Center
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $22
- Cash Discount Price: $170
- vs. Medicare Baseline: 0.41x 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 - $136 | 9% |
| Amerigroup | $8 | 15% |
| Healthyblue | $8 | 15% |
| United | $8 - $76 | 15% |
| Medicaid / KanCare | $9 | 17% |
| Aetna | $9 - $87 | 17% |
| Unicare | $9 | 17% |
| Celtic | $10 | 19% |
| Devoted Health | $10 | 19% |
| Humana | $10 - $28 | 19% |
| Pyramid Life | $10 | 19% |
| Blue Cross Blue Shield | $10 - $76 | 19% |
| Coventry | $10 - $68 | 19% |
| Wellcare | $10 | 19% |
| Multiplan | $14 - $126 | 26% |
| Oscar | $15 | 28% |
| Oha Network | $17 - $85 | 32% |
| Corvel Corporation | $17 - $111 | 32% |
| Ambetter / Centene | $32 | 60% |
| Nhc Advantage | $32 | 60% |
| Wppa Providrs Care Network | $34 | 64% |
| Home State Health Plan | $48 | 90% |
| Universal Healthcare | $60 | 113% |
| Coventry Kc Mo | $70 | 131% |
| College Park Family Care Center | $73 | 137% |
| Triwest Health Alliance | $128 | 240% |
| Focus Healthcare Mgmt, Inc | $128 | 240% |
| Cco, Inc. | $128 | 240% |
Consumer Guidance & Cost Commentary
For the "Blood antibody screen" procedure at Menorah Medical Center in Overland Park, KS, the cash price is $170.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $53.24, reflecting a markup common in commercial billing. While the facility offers negotiated rates to various payers ranging from $5 to $128, these amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $170.00 cash price directly, as the negotiated rates for many insurers are higher than the cash amount. To maximize savings, consumers should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final cost by 20% to 50%.
The data indicates that the facility's cash rate of $170.00 is notably higher than the lowest negotiated rate of $5.00 found with Cigna, though the latter represents a specific plan's allowed amount rather than a universal discount. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services like lab tests are billed separately. To avoid confusion, patients should request a full itemized bill listing every CPT code and unit cost before agreeing to payment terms, as summary bills often obscure individual charges. Given that over 80% of hospital bills contain errors, verifying the line-by-line details is a critical step to ensure no unbundled codes or services not rendered