CMS Price Transparency Data

Blood antibody screen

Facility: Barnes Jewish Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $176
Cash Discount Price: $187
vs. Medicare Baseline: 3.31x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Barnes Jewish Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 3.31x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

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: $187 (351%)

Insurance Median: $176 (331%)

Cash: $187 (351% of Medicare)

Ins. Median: $176 (331% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 331% of the Medicare baseline (a markup of 231%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Healthscope Benefits [258]	$12 - $203	23%
UnitedHealthcare	$12 - $232	23%
Humana	$13 - $52	24%
Cigna	$14 - $250	26%
Consociate [478]	$15	28%
Sarah Bush Lincoln [636]	$15	28%
Aetna	$19 - $234	36%
Allied Benefits [498]	$19 - $232	36%
Coresource [497]	$19	36%
Fmh Benefit Service Inc [222]	$19	36%
Mail Handlers [495]	$19	36%
Apwu Health Plan [216]	$23	43%
Nalc Health Benefit Plan [242]	$23	43%
Priority Health [648]	$23	43%
Blue Cross Blue Shield	$31 - $271	58%
Essence Healthcare [221]	$52	98%
Cox Health [757]	$55	103%
Devoted Health Plan [847]	$55	103%
Medica [662]	$55	103%
Mercy Behavioral Health [573]	$78	147%
Healthlink [225]	$151 - $236	284%
Cox Health Systems Insurance Company [220]	$172 - $203	323%
Health Alliance [224]	$172	323%
Hope Trust [806]	$181	340%
Med-Pay [480]	$203 - $234	381%
Unicare [568]	$203 - $236	381%
First Health Commercial [734]	$232	436%
Beechstreet [551]	$234	440%
Detego Health [868]	$234	440%
Health Systems Inc [620]	$234	440%
Healthcare Sol Mercy [609]	$234	440%
Multiplan Commercial [737]	$234	440%
Multiplan [240]	$234	440%
Phcs [244]	$234 - $250	440%
Preferred Health Professionals [561]	$236	443%
Medica [661]	$250	470%
Hfn [563]	$265	498%

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 $187.
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 Barnes Jewish 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.