CMS Price Transparency Data

Blood antibody screen

Facility: Boys Town National Research Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $73
Cash Discount Price: $78
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Boys Town National Research Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.37x the Medicare baseline. Located in 14000 Boys Town Hospital Road, Boys Town, NE.

Cash / Self-Pay

$78

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: $78 (147%)

Insurance Median: $73 (137%)

Cash: $78 (147% 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
Molina Of Nebraska	$7	13%
Nebraska Total Care	$7	13%
UnitedHealthcare	$7 - $39	13%
Medica	$20 - $78	38%
Nfm Paramount	$39 - $78	73%
Amerigroup	$44	83%
Elap Omaha Firefighters	$54	101%
Aetna	$73	137%
First Health	$73	137%
Methodist	$74	139%
Blue Cross Blue Shield	$78 - $95	147%
Health Partners	$78	147%
Midlands Choice	$78	147%
Phcs-Multiplan	$78 - $83	147%

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 $78.
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 Boys Town National Research 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.