CMS Price Transparency Data
Blood antibody screen
Facility: Mercy Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $63
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Medical Center is $63. 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 1.18x the Medicare baseline. Located in 1000 North Village Avenue, Rockville Centre, NY.
Cash / Self-Pay
Unavailable
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%)
Insurance Median: $63 (118%)
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.
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 | $5 - $63 | 9% |
| Mail Handlers Benefit Plan | $5 | 9% |
| Meritain Health | $5 | 9% |
| Nippon Life Insurance Company Of America | $5 | 9% |
| Salvation Army | $5 | 9% |
| Affinity Health Plan | $6 - $13 | 11% |
| Beacon Health Options | $6 - $89 | 11% |
| Beacon Health Strategies | $6 - $89 | 11% |
| Centerlight Healthcare | $6 - $63 | 11% |
| Elderplan Inc. | $6 - $63 | 11% |
| Emblem Health | $6 - $142 | 11% |
| Fidelis Care New York | $6 - $63 | 11% |
| Health First | $6 - $142 | 11% |
| Health Plus | $6 - $63 | 11% |
| Independent Health | $6 - $63 | 11% |
| Medicaid / KanCare | $6 | 11% |
| Mvp Health Plans | $6 - $63 | 11% |
| Senior Whole Health | $6 - $63 | 11% |
| UnitedHealthcare | $6 - $63 | 11% |
| Surest | $10 | 19% |
| Zadroga | $13 | 24% |
| Centivo | $15 - $25 | 28% |
| Blue Cross Blue Shield | $22 - $63 | 41% |
| Apwu | $25 | 47% |
| Brighton | $25 - $164 | 47% |
| Cigna | $25 - $153 | 47% |
| Daniel H Cook | $25 | 47% |
| Nalc | $25 | 47% |
| Samba | $25 | 47% |
| Self Pay | $29 | 54% |
| Centers Plan For Healthy Living | $63 | 118% |
| Healthspring | $63 | 118% |
| Liberty Health | $63 | 118% |
| Longevity Health Plan | $63 | 118% |
| Medicare (plans) | $63 - $66 | 118% |
| Orthonet - Uniformed Services Family Health Plan | $63 | 118% |
| Pmc | $63 | 118% |
| Tricare | $63 | 118% |
| Universal Healthcare | $63 | 118% |
| Us Family Health Plan | $63 | 118% |
| Veterans Affairs | $63 | 118% |
| Humana | $64 | 120% |
| Agewell New York | $65 | 122% |
| Partners Health Plan | $66 | 124% |
| Wellcare Health Plan Inc | $70 | 131% |
| Local 1199 | $72 | 135% |
| Oscar Health | $92 - $96 | 173% |
| American Plan Administrators | $142 | 267% |
| Amerihealth Administrators | $142 | 267% |
| Benefit Services | $142 | 267% |
| Ghi Cbp Ny City Employee Alternate | $142 | 267% |
| International Benefit Administrator | $142 | 267% |
| Ultra Benefits Inc. | $142 | 267% |
| Allied Wellfare Fund | $146 - $153 | 274% |
| American Group Administrators | $146 - $153 | 274% |
| Bakery & Confectionery Union | $146 - $153 | 274% |
| Comprehensive Benefits Consultant | $146 - $153 | 274% |
| Guardian Life Insurance Company Of America | $146 - $153 | 274% |
| Maloney And Assoc | $146 - $153 | 274% |
| Multiplan | $146 - $153 | 274% |
| Performax | $146 - $153 | 274% |
| Phcs | $146 - $153 | 274% |
| Pomco | $146 - $153 | 274% |
| Tpa Inc | $146 - $153 | 274% |
| Unicare | $146 - $153 | 274% |
| United Employees Health Plan | $146 - $153 | 274% |
| Coventry | $166 - $188 | 312% |
| Magellan | $180 - $188 | 338% |
| Galaxy | $202 - $212 | 379% |
| Three Rivers Provider Network | $202 - $212 | 379% |
| Aither Health | $225 - $235 | 423% |
| Alpha Care | $225 - $235 | 423% |
| Dentaquest | $225 - $235 | 423% |