Blood antibody screen
Facility: Goodland Regional Medical Center
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $113
- Cash Discount Price: $113
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $91 | 171% |
| Wppa | $106 - $112 | 199% |
| UnitedHealthcare | $112 | 210% |
Consumer Guidance & Cost Commentary
For the CPT code 86850 (Blood antibody screen) at Goodland Regional Medical Center in Goodland, Kansas, the facility's cash median price is $113.00, which is notably lower than the negotiated rates paid by major insurers. While Blue Cross Blue Shield pays $91.00 and UnitedHealthcare pays $112.00, the facility's self-pay rate of $113.00 is actually higher than the cash median for this service in the state of Kansas. This pricing structure highlights a common scenario where commercial insurance negotiated rates can sometimes exceed the cash price, potentially making out-of-pocket payment more cost-effective for patients with high-deductible plans who have not yet met their coverage thresholds.
To ensure you are receiving the most accurate pricing, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should verify if the facility offers a prompt-pay discount, which could reduce the $113.00 cash rate further by bypassing administrative claim processing fees. Since this service is performed at a Critical Access Hospital, federal protections under the No Surprises Act may apply if you receive care from out-of-network providers, so you should dispute any unexpected balance bills immediately rather than accepting summary invoices. Always confirm your specific plan's deductible status and ask the hospital directly about self-pay or prompt-pay options prior to scheduling your appointment.