CMS Price Transparency Data

Blood antibody screen

Facility: Lee's Summit Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $70
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lee's Summit Medical Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.31x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $277 (520%)
Insurance Median: $70 (131%)
Cash: $277 (520% of Medicare)
Ins. Median: $70 (131% 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
Cigna $5 - $245 9%
Healthyblue $8 15%
United $8 - $138 15%
Aetna $9 - $156 17%
Amerigroup $9 17%
Home State Health Plan $9 17%
Medicaid / KanCare $9 17%
Unicare $9 17%
Blue Cross Blue Shield $10 - $131 19%
Celtic $10 19%
Coventry $10 - $123 19%
Devoted Health $10 19%
Humana $10 - $28 19%
Pyramid Life $10 19%
Wellcare $10 19%
Multiplan $14 - $226 26%
Oscar $15 28%
Corvel Corporation $17 - $199 32%
Oha Network $17 - $153 32%
Ambetter / Centene $47 - $57 88%
Nhc Advantage $48 - $58 90%
Wppa Providrs Care Network $50 - $61 94%
Universal Healthcare $88 - $107 165%
Coventry Kc Mo $103 - $125 193%
College Park Family Care Center $108 - $131 203%
Focus Healthcare Mgmt, Inc $189 - $229 355%
Cco, Inc. $214 - $260 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Se Blue Parkway, Lees Summit, MO 64063
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals