CMS Price Transparency Data

Blood antibody screen

Facility: Fairview Bethesda Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $73
Cash Discount Price: $52
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Fairview Bethesda Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.37x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $52 (98%)

Insurance Median: $73 (137%)

Cash: $52 (98% of Medicare)

Ins. Median: $73 (137% 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
Blue Cross Blue Shield	$7 - $78	13%
Health Partners	$7 - $104	13%
Itasca Medical Care	$10 - $53	19%
Medica	$10 - $96	19%
Primewest	$10 - $53	19%
South Country Health Alliance	$10 - $53	19%
Ucare	$10 - $122	19%
Hennepin Health	$11	21%
America'S Ppo	$14 - $96	26%
UnitedHealthcare	$15 - $76	28%
Sanford Health Plan	$16 - $78	30%
Security Health Plan	$21 - $100	39%
First Health	$23 - $109	43%
Multiplan	$24 - $113	45%
Private Healthcare Systems	$24 - $113	45%
Wisconsin Physician Services	$25 - $120	47%
Wellcare	$53	100%

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 $52.
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 Fairview Bethesda Hospital 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.