CMS Price Transparency Data

Blood antibody screen

Facility: Long Island Community Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Long Island Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $12 (23%)
Insurance Median: $10 (19%)
Cash: $12 (23% of Medicare)
Ins. Median: $10 (19% 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
Local 1199 $5 9%
Magellan $6 11%
Multiplan $6 11%
Coventry $7 13%
Oscar Health Exchange $7 13%
Longevity Health $8 15%
Galaxy $9 17%
Aarp $10 19%
Aetna $10 - $25 19%
Agewell $10 19%
Beacon Health Options $10 19%
Blue Cross Blue Shield $10 19%
Centerlight $10 19%
Cigna $10 19%
Emblem Ghi $10 19%
Fidelis $10 19%
Humana $10 19%
Integra $10 19%
Medicare (plans) $10 19%
Nexus Nyu $10 19%
UnitedHealthcare $10 19%
Elderplan Inc. $11 21%
Wellcare $11 21%
Magnacare $57 - $100 107%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals