Blood antibody screen
Facility: Neosho Memorial Regional Medical Center
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $52
- Cash Discount Price: $121
- vs. Medicare Baseline: 0.98x 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% |
| Tricare | $50 | 94% |
| Va_Ccn | $52 | 98% |
| Medadv_Uhc | $52 | 98% |
| Aetna | $52 | 98% |
| Humana | $52 | 98% |
| Blue Cross Blue Shield | $52 - $101 | 98% |
| Medadv_Allwell | $52 | 98% |
| Medicare (plans) | $52 | 98% |
| Ambetter / Centene | $54 | 101% |
| United | $134 | 252% |
| Wppa_Providrscare | $134 | 252% |
| Cigna | $153 | 287% |
| Hpk | $153 | 287% |
| Coventry | $153 | 287% |
Consumer Guidance & Cost Commentary
For the CPT code 86850 (Blood antibody screen) at Neosho Memorial Regional Medical Center in Chanute, KS, the facility's cash median price is $121.00, while the median negotiated rate across payers is $52.00. This negotiated rate aligns closely with the state average of $52.00, indicating that in-network insurance coverage generally covers the cost without significant markup relative to the region. However, patients should note that cash-pay options are often more expensive than insurance negotiated rates for this service; paying out-of-pocket at the full cash price of $121.00 would result in a higher out-of-pocket cost compared to the $52.00 rate typically allowed by insurers. Additionally, the facility's self-pay rate of $121.00 is higher than the Medicare benchmark of $53.24, which serves as the federal baseline for evaluating fair pricing.
While the facility is a Critical Access Hospital with government-local ownership, patients should verify their specific plan details before scheduling, as some commercial payers like Blue Cross Blue Shield have a wider range of negotiated rates ($52.00 to $101.00) compared to others that are fixed at $52.00. If a patient has a high-deductible plan, they may face higher costs if their deductible has not been met, as the negotiated rate of $52.00 could be charged in full rather than partially covered. To minimize costs, patients are encouraged to ask the billing department about "prompt-pay" discounts, which can reduce the cash price by 20% to 50%