CMS Price Transparency Data

Blood antibody screen

Facility: Metropolitan Hospital Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $69
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Metropolitan Hospital Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.30x the Medicare baseline. Located in 1901 First Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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%)
Insurance Median: $69 (130%)
Ins. Median: $69 (130% 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
Aetna $3 - $75 6%
Healthfirst $6 - $156 11%
Elderplan $10 19%
Fidelis $10 - $156 19%
Magnacare $12 23%
Oxford $14 26%
United $14 - $87 26%
Oscar $15 28%
Blue Cross Blue Shield $26 - $156 49%
Centerlight $54 101%
Vaccn $63 118%
Vnsny $63 - $71 118%
Metroplus $64 - $156 120%
Wellcare $65 122%
Centers Plan For Healthy Living $66 124%
Amidacare $69 130%
Carelon $69 - $70 130%
Senior Whole Health $69 130%
United Behavioral Health $69 - $76 130%
Affinity $71 - $156 133%
Carelon (Amida Care) $71 133%
Emblem $79 - $94 148%
Multiplan $86 162%
Local 1199 $91 171%
Villagecare Max $91 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals