CMS Price Transparency Data

Blood antibody screen

Facility: University of Michigan Health - West

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $53
Cash Discount Price: $32
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at University of Michigan Health - West is $53. 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 1.00x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$32

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $53 (100%)

Cash: $32 (60% of Medicare)

Ins. Median: $53 (100% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$19 - $29	36%
Priority Health	$28	53%
Molina Healthcare Of Mi	$29	54%
Web Tpa	$35	66%
Care Resources	$48	90%
Aetna	$53	100%
Alliance Health & Life Ppo	$53	100%
Asr Physicians	$53	100%
Hap	$53	100%
Humana	$53 - $60	100%
Insight Metro Care	$53	100%
Medicare (plans)	$53	100%
Molina Marketplace Commercial	$53	100%
Golden Rule Ins	$57	107%
Medica	$57	107%
Student Ins/Mega Life	$57	107%
UnitedHealthcare	$57	107%
Asr Cofinity	$66	124%
Cofinity Commercial	$66	124%
Cofinity Weyco	$66	124%
Core Source	$66	124%
Epoch Group	$66	124%
Health Partners	$66	124%
Hlthcomp Admin	$66	124%
Mid America	$66	124%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $32.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Michigan Health - West is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.