CMS Price Transparency Data

Blood antibody screen

Facility: Flushing Hospital Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $65
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Flushing Hospital Medical Center is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.22x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $188 (353%)
Insurance Median: $65 (122%)
Cash: $188 (353% of Medicare)
Ins. Median: $65 (122% 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
Ghi $4 - $65 8%
UnitedHealthcare $6 - $65 11%
1199 National Benefit Fund $18 34%
Cigna $18 34%
Healthfirst $55 103%
Elderplan $61 115%
Fidelis $61 - $65 115%
Aetna $65 122%
Beacon Health Strategies $65 122%
Centerlight Healthcare $65 122%
Empire $65 - $121 122%
Hip $65 - $96 122%
Humana $65 - $69 122%
Metroplus $65 - $71 122%
Oscar $65 122%
Villagecaremax $65 122%
Vns $66 124%
Wellcare Of Ny $67 126%
Senior Whole Health $69 130%
Centers Plan For Healthy Living $71 133%
Elderserve Health $74 139%
Hamaspik Choice $74 139%
Magnacare $74 139%
Centivo $81 152%
Emblemhealth $101 190%
Empire Blue Priority $103 193%
Hotel Trades Council $1,912 3591%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals