Blood antibody screen
Facility: Lindsborg Community Hospital
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $124
- Cash Discount Price: $109
- vs. Medicare Baseline: 2.33x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 233% of the Medicare baseline (a markup of 133%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $21 | 39% |
| Tricare | $61 - $101 | 115% |
| Coventry Mcr Adv | $62 - $102 | 116% |
| Cigna | $111 - $183 | 208% |
| Coventry Comm-All Other Plans | $117 - $194 | 220% |
| UnitedHealthcare | $117 - $194 | 220% |
| Multiplan-All Plans | $121 - $200 | 227% |
| Phcs Preferred-All Plans | $121 - $200 | 227% |
| Wppa-All Plans | $124 - $204 | 233% |
| Century Health-All Plans | $124 - $204 | 233% |
| Health Partners -All Plans | $124 - $204 | 233% |
| Coventry Wc | $124 - $204 | 233% |
Consumer Guidance & Cost Commentary
For the blood antibody screen procedure (CPT 86850) at Lindsborg Community Hospital in Lindsborg, KS, the cash median price is $109.00, while the median negotiated rate paid by insurance plans is $124.00. This facility, a Critical Access Hospital, charges significantly less for cash pay than the typical negotiated rate, which often exceeds the cash price for patients with high-deductible plans. While the facility's cash rate is lower than the state average, patients should be aware that insurance contracts can sometimes result in higher out-of-pocket costs if the negotiated rate is not fully covered by the deductible. To minimize expenses, individuals should verify their specific plan's allowed amount and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill.
It is important to understand that commercial insurance rates are often inflated by administrative costs and contract structures, meaning the negotiated rate of $124.00 may not represent the true cost of care. For context, the Medicare benchmark for this service is $53.24, which serves as a scientifically validated baseline for the actual cost of delivery. Because commercial rates frequently range from 200% to 300% of Medicare, comparing your potential bill to the Medicare amount provides a clearer picture of fair pricing than looking at the hospital's gross charges. If you receive a bill that appears excessive, you should request a detailed, itemized statement to check for errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies that can be disputed to reduce medical debt.