CMS Price Transparency Data

Blood antibody screen

Facility: Ocean Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $156
Cash Discount Price: $56
vs. Medicare Baseline: 2.93x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Ocean Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 2.93x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

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: $56 (105%)

Insurance Median: $156 (293%)

Cash: $56 (105% of Medicare)

Ins. Median: $156 (293% 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 293% of the Medicare baseline (a markup of 193%). 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
UnitedHealthcare	$5 - $70	9%
Clover	$10	19%
Seoul Medical Group	$10	19%
Karna	$13	24%
Aetna	$39 - $231	73%
Cigna	$45 - $46	85%
Horizon	$52 - $227	98%
Amerigroup	$53	100%
Vaccn	$53 - $58	100%
Wellcare	$53 - $58	100%
United Community/Americhoice	$56 - $61	105%
Blue Cross Blue Shield	$58	109%
Qualcare	$136 - $242	255%
Oxford	$149	280%
Activecare First McO	$192 - $234	361%
Intergroup	$192	361%
Bergen Risk	$206	387%
Brighton Health Plan	$220	413%
Prime Health	$220	413%
Multiplan - PHCS	$234	440%
Amerihealth	$236 - $268	443%

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 $56.
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 Ocean 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.