CMS Price Transparency Data

Blood antibody screen

Facility: Novant Health Brunswick Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $203
Cash Discount Price: $164
vs. Medicare Baseline: 3.81x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Novant Health Brunswick Medical Center is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 3.81x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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: $164 (308%)

Insurance Median: $203 (381%)

Cash: $164 (308% of Medicare)

Ins. Median: $203 (381% 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 381% of the Medicare baseline (a markup of 281%). 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
Amerihealth	$36 - $48	68%
Blue Cross Blue Shield	$36 - $240	68%
Carolina Complete	$36 - $47	68%
Nc Department Of Public Safety	$36 - $112	68%
UnitedHealthcare	$36 - $205	68%
Wellcare	$36 - $48	68%
Humana	$56 - $287	105%
Pace Of The Southern Piedmont	$56	105%
Aetna	$57 - $284	107%
New Hanover Health Advantage	$57	107%
Cigna	$58 - $185	109%
Liberty Health	$59	111%
Caresource North Carolina	$102 - $134	192%
Ambetter / Centene	$126	237%
Atlantic Corporation Dba Atlantic Packaging	$137 - $180	257%
Amps	$140 - $184	263%
Plotkin Health	$152 - $200	285%
Medcost	$191 - $280	359%
Transformhealth	$203 - $267	381%
Multiplan	$229 - $301	430%
Phcs	$229 - $301	430%
Employers Choice Network	$246 - $324	462%
Three Rivers Provider Network	$246 - $324	462%

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 $164.
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 Novant Health Brunswick Medical Center 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.