CMS Price Transparency Data

Blood antibody screen

Facility: Good Samaritan Hospital Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $62
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Good Samaritan Hospital Medical Center is $62. 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 1.16x the Medicare baseline. Located in 1000 Montauk Highway, West Islip, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $62 (116%)
Ins. Median: $62 (116% 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%
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 - $62 41%
Apwu $25 47%
Brighton $25 - $208 47%
Cigna $25 - $193 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 $122 229%
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 $193 363%
American Group Administrators $193 363%
Bakery & Confectionery Union $193 363%
Comprehensive Benefits Consultant $193 363%
Guardian Life Insurance Company Of America $193 363%
Maloney And Assoc $193 363%
Multiplan $193 363%
Performax $193 363%
Phcs $193 363%
Pomco $193 363%
Tpa Inc $193 363%
Unicare $193 363%
United Employees Health Plan $193 363%
Coventry $220 - $252 413%
Galaxy $267 502%
Three Rivers Provider Network $267 502%
Aither Health $297 558%
Alpha Care $297 558%
Dentaquest $297 558%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals