Blood antibody screen
Facility: Minneola District Hospital
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $113
- Cash Discount Price: $88
- vs. Medicare Baseline: 2.12x 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 212% of the Medicare baseline (a markup of 112%). 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 |
|---|---|---|
| UnitedHealthcare | $84 - $125 | 158% |
| Humana | $84 | 158% |
| Va Community Care Program-All Plans | $84 | 158% |
| Blue Cross Blue Shield | $91 | 171% |
| Corporate Plan Management-All Plans | $106 | 199% |
| Providrs Care Network-All Plans | $106 | 199% |
| Triwest-All Plans | $112 | 210% |
| Preferred Health Care (Coventry)-All Other Plans | $112 | 210% |
| Health Partners Of Kansas-All Plans | $119 | 224% |
| Aetna | $119 - $125 | 224% |
| Phc (Coventry) Leased Network | $119 | 224% |
| Medicaid / KanCare | $125 | 235% |
Consumer Guidance & Cost Commentary
For the CPT code 86850, Blood antibody screen, at Minneola District Hospital in Kansas, the negotiated rates range from $84 to $125 depending on your specific insurance plan. The facility's median negotiated rate is $113, which aligns with the median paid amount across all payers. This rate is significantly higher than the Medicare benchmark of $53.24, reflecting the typical administrative markup and contract dynamics that commercial insurers utilize. While the facility is a Critical Access Hospital owned by a government hospital district, patients should be aware that cash prices are often lower; the cash median is $88, which is cheaper than the negotiated average. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $88 upfront may result in lower out-of-pocket costs compared to your insurance paying the negotiated rate of $113, especially since the insurance payment would not cover the deductible.
To minimize costs, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full before or shortly after the service. Additionally, since over 80% of hospital bills contain errors, you should request a detailed, itemized statement rather than accepting a summary bill, ensuring you are not charged for services not rendered or unbundled components. While the data provided does not include explicit county or state average comparisons for this specific code, the facility's pricing structure is transparently reported against the national Medicare baseline. Always verify your specific plan's allowed amount before scheduling, as in-network rates vary by