CMS Price Transparency Data

Blood antibody screen

Facility: Albany Medical Center Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $11
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Albany Medical Center Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $19 (36%)
Insurance Median: $11 (21%)
Cash: $19 (36% of Medicare)
Ins. Median: $11 (21% 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
Blue Shield Highmark $5 - $20 9%
Medicaid / KanCare $6 11%
Blue Cross Blue Shield $7 - $149 13%
Cdphp $7 - $149 13%
Mvp $7 - $66 13%
Fidelis $8 - $149 15%
Aetna $10 - $66 19%
Blue Shield $10 - $70 19%
Cigna $10 19%
Emblem Health Ghi $10 - $19 19%
Hamaspik $10 - $156 19%
Medicare (plans) $10 19%
Mvp Commercial $10 19%
UnitedHealthcare $10 - $195 19%
Emblem $11 - $18 21%
Nascentia $11 21%
Nascentia Health Options $11 21%
Empire Plan Nyship $14 - $195 26%
Magnacare $14 - $195 26%
Multiplan $15 - $207 28%
Tricare $15 28%
Emblem_Ghi $18 34%
Mvp Essential Plan $143 269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals