CMS Price Transparency Data

Blood antibody screen

Facility: Kings County Hospital Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Kings County Hospital Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $62 (116%)
Insurance Median: $75 (141%)
Cash: $62 (116% of Medicare)
Ins. Median: $75 (141% 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%
Blue Cross Blue Shield $6 - $203 11%
Healthfirst $6 - $203 11%
Centers Plan For Healthy Living $10 - $66 19%
Elderplan $10 19%
Fidelis $10 - $203 19%
Centerlight $12 - $54 23%
Hamaspik $12 23%
Magnacare $12 23%
Villagecare Max $12 - $91 23%
Oscar $13 - $15 24%
Oxford $14 26%
United $14 - $113 26%
Wellcare $14 - $65 26%
Affinity $17 - $203 32%
Local 1199 $18 - $91 34%
Vaccn $63 118%
Vnsny $63 - $92 118%
Carelon $70 - $90 131%
Emblem $79 - $122 148%
Metroplus $85 - $203 160%
Multiplan $86 162%
Amidacare $90 169%
Senior Whole Health $90 169%
United Behavioral Health $90 - $99 169%
Carelon (Amida Care) $92 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals