Blood antibody screen
Facility: Greeley County Health Services
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $8
- Cash Discount Price: $110
- vs. Medicare Baseline: 0.15x 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 | 15% |
| Aetna | $8 | 15% |
Consumer Guidance & Cost Commentary
For this blood antibody screen service at Greeley County Health Services, the cash price of $110.00 is significantly lower than the facility's gross charge of $157.00, representing a 30% reduction. While the facility's negotiated rate with commercial payers like Aetna is $8.00, this figure is notably lower than the cash price, suggesting that for patients with high-deductible plans or those without insurance, paying the cash price directly may result in a higher out-of-pocket cost compared to the insurer's allowed amount. It is important to note that the facility's ownership is Government - Local, which often influences pricing structures, and the service is located in Tribune, Kansas.
To ensure you are receiving the most accurate pricing, always request an itemized bill before finalizing payment, as summary bills can obscure individual code costs and potential errors. If you choose to use insurance, remember that the negotiated rate of $8.00 serves as a ceiling for what the insurer will pay, but your actual responsibility depends on your specific plan's deductible and coinsurance. Additionally, since prompt-pay discounts are common incentives for upfront payment, ask the billing department specifically about self-pay or prompt-pay rates prior to scheduling your visit to avoid being billed the full gross amount or unexpected balance charges.