CMS Price Transparency Data

Blood antibody screen

Facility: Carolinas Rehabilitation

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $111
Cash Discount Price: $113
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Carolinas Rehabilitation is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.08x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $113 (212%)

Insurance Median: $111 (208%)

Cash: $113 (212% of Medicare)

Ins. Median: $111 (208% 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 208% of the Medicare baseline (a markup of 108%). 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 Caritas	$15 - $88	28%
Carolina Complete Health	$15 - $89	28%
Healthy Blue	$15 - $89	28%
UnitedHealthcare	$15 - $148	28%
Wellcare	$15 - $89	28%
Humana	$54	101%
Aetna	$55 - $192	103%
Cigna	$56 - $152	105%
Ambetter / Centene	$69 - $84	130%
Blue Cross Blue Shield	$78 - $108	147%
Employers Health Network	$100 - $120	188%
Physician Reach Out	$113	212%
Medcost	$132 - $151	248%
Quik Trip	$147	276%
Choicecare	$176	331%
Healthgram	$180	338%
Private Health Care Systems	$185	347%
First Health	$192	361%
Beechstreet	$208	391%
Multiplan	$208	391%

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 $113.
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 Carolinas Rehabilitation 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.