CMS Price Transparency Data

Blood antibody screen

Facility: Harlem Hospital Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $86
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Harlem Hospital Center is $86. 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 1.62x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $86 (162%)
Ins. Median: $86 (162% 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 - $193 11%
Elderplan $10 19%
Fidelis $10 - $193 19%
Magnacare $12 23%
Oxford $14 26%
United $14 - $107 26%
Oscar $15 28%
Blue Cross Blue Shield $26 - $193 49%
Centerlight $54 101%
Vaccn $63 118%
Vnsny $63 - $88 118%
Wellcare $65 122%
Centers Plan For Healthy Living $66 124%
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 - $95 162%
Affinity $88 - $193 165%
Carelon (Amida Care) $88 165%
Local 1199 $91 171%
Villagecare Max $91 171%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals