CMS Price Transparency Data

Blood antibody screen

Facility: NYU Langone Hospitals

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $63
Cash Discount Price: $12
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at NYU Langone Hospitals is $63. 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 1.18x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

$63

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: $63 (118%)

Cash: $12 (23% of Medicare)

Ins. Median: $63 (118% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthfirst	$6 - $271	11%
Fidelis	$9 - $271	17%
Healthplus	$9 - $271	17%
Oxford	$10	19%
UnitedHealthcare	$10 - $271	19%
Blue Cross Blue Shield	$12 - $16	23%
Cigna	$17	32%
1199	$18	34%
Aetna	$25 - $395	47%
Ghi	$63 - $12,574	118%
Hip	$63 - $8,427	118%
Medicare (plans)	$63	118%
Wellcare	$63	118%
Centerlight	$64	120%
Medicaid / KanCare	$76 - $120	143%
Metroplus	$76 - $271	143%
Somos	$80 - $162	150%
Hamaspik	$95	178%
Amida	$130 - $132	244%
Multiplan	$308	579%
Magnacare	$13,453 - $25,798	25269%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $12.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm NYU Langone Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.