CMS Price Transparency Data

Blood antibody screen

Facility: St Charles Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$27
about 0.5× the $53 Medicare rate · typically $10–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $13 under the fair price · 0.3× Medicare
Medicare pays $53 Fair price $27 This hospital $14 Hospital's list price $230

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $14

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $27 (about 0.5× the $53 Medicare rate). St Charles Hospital charges insurers about $14 — below the fair price — a good deal. Located in Port Jefferson, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $6 - $153 11%
Blue Cross Blue Shieldmajor $22 - $63 41%
Aetnamajor $5 - $200 9%
Cignamajor $25 - $153 47%
Humanamajor $64 120%
AmeriHealth $142 267%
Cigna HealthSpring $63 118%
Fidelis Care $6 - $63 11%
Independent Health $6 - $63 11%
MVP Health Care $6 - $63 11%
Oscar Health $92 - $96 173%
UniCare $146 - $153 274%
WellCare $70 131%
+ 44 smaller / regional plans $5 - $235
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Belle Terre Road, Port Jefferson, NY 11777
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals