CMS Price Transparency Data

Blood antibody screen

Facility: Medstar Montgomery Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $32
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medstar Montgomery Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.60x the Medicare baseline. Located in 18101 Prince Philip Drive, Olney, MD.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $32 (60%)
Insurance Median: $32 (60%)
Cash: $32 (60% of Medicare)
Ins. Median: $32 (60% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $32 60%
Amerigroup $32 60%
Amerihealth Caritas District Of Columbia $32 60%
Carefirst Advantage Inc $32 60%
Carefirst Blue Choice Inc $32 60%
Cigna $32 60%
First Health $32 60%
Hscsn $32 60%
Humana $32 60%
Kaiser Permanente $32 60%
Magellan Behavioral Health Inc $32 60%
Mamsi $32 60%
Medstar Family Choice $32 60%
Medstar Family Choice Inc $32 60%
Ncppo Healthlink Ppo $32 60%
Pfc $32 60%
Private Healthcare Systems (Phcs) $32 60%
Tricare $32 60%
United Behavioral Health Inc $32 60%
UnitedHealthcare $32 60%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Prince Philip Drive, Olney, MD 20832
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals