CMS Price Transparency Data

Blood antibody screen

Facility: Queens Hospital Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $73
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Queens Hospital Center is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.37x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $63 (118%)
Insurance Median: $73 (137%)
Cash: $63 (118% of Medicare)
Ins. Median: $73 (137% 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 - $193 11%
Healthfirst $6 - $193 11%
Centers Plan For Healthy Living $10 - $66 19%
Elderplan $10 19%
Fidelis $10 - $193 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 - $92 26%
Wellcare $14 - $65 26%
Affinity $17 - $193 32%
Local 1199 $18 - $91 34%
Vaccn $63 118%
Vnsny $63 - $88 118%
Carelon $70 - $86 131%
Emblem $79 - $116 148%
Metroplus $81 - $193 152%
Amidacare $86 162%
Multiplan $86 162%
Senior Whole Health $86 162%
United Behavioral Health $86 - $94 162%
Carelon (Amida Care) $88 165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals