Blood antibody screen
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $100
- Cash Discount Price: $33
- vs. Medicare Baseline: 1.88x 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% |
| UnitedHealthcare | $49 | 92% |
| Workers Comp [503999901] | $49 - $311 | 92% |
| Allwell [503200078] | $50 | 94% |
| Medicare (plans) | $50 | 94% |
| Blue Cross Blue Shield | $50 | 94% |
| Humana | $51 | 96% |
| Triwest [503201703] | $51 | 96% |
| Tricare | $51 | 96% |
| Alt Wppa [5032000964] | $61 - $154 | 115% |
| Meritain Health [503200039] | $61 - $220 | 115% |
| Wppa [503200056] | $61 - $154 | 115% |
| Centurion [5032000966] | $63 | 118% |
| Ambetter / Centene | $71 | 133% |
| Alt Carelon Behavioral Health [503200905] | $73 - $183 | 137% |
| Aha-Healthcare Preferred [503200050] | $88 - $220 | 165% |
| Php [503200005] | $88 - $220 | 165% |
| National Assn Letter Carriers [503200019] | $88 - $220 | 165% |
| Cigna | $88 - $293 | 165% |
| Aetna | $88 - $220 | 165% |
| Allied National [503999937] | $88 - $220 | 165% |
| Alt Meritain Health [503999911] | $88 - $220 | 165% |
| First Health [5032000110] | $88 - $220 | 165% |
| Fort Hays State Student Athletes [5032000960] | $102 | 192% |
| Occunet [503999930] | $102 | 192% |
| Correct Care Solutions [50311253] | $102 - $256 | 192% |
| 6 Degrees Health [503999050] | $122 | 229% |
| Usa Managed Care [503999030] | $131 - $329 | 246% |
| Advanced Medical Pricing Solutions [503301513] | $154 | 289% |
Consumer Guidance & Cost Commentary
For this blood antibody screen service at the University of KS Health System Great Bend Campus, the cash price of $33.00 is significantly lower than the facility's negotiated rates, which range from $49 to $293 depending on the insurance carrier. While the facility's cash rate is well below the state average for this procedure, patients with high-deductible plans should consider paying cash upfront, as the cash price of $33.00 is often cheaper than the negotiated amounts insurers may pay, which can exceed $100 for many payers. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these upfront payment incentives can further reduce the final cost.
The facility's negotiated rates are also notably higher than the Medicare benchmark of $53.24, with the median negotiated rate across all payers reaching $100.00. This markup reflects the administrative costs and contract structures inherent in commercial insurance billing, where rates can average 200% to 300% of the Medicare baseline. Because the facility is an in-network provider for most major carriers, patients are protected from balance billing for emergency care under the No Surprises Act, but they should still verify their specific plan's allowed amount to ensure they are not paying more than the insurer's contracted rate.