CMS Price Transparency Data

Blood antibody screen

Facility: St Barnabas Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 0.6× the $53 Medicare rate · typically $10–$68
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
Below the fair price — a good deal
about $20 under the fair price · 0.2× Medicare
Medicare pays $53 Fair price $30 This hospital $10 Hospital's list price $149

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 $10

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 $30 (about 0.6× the $53 Medicare rate). St Barnabas Hospital charges insurers about $10 — below the fair price — a good deal. Located in Bronx, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $10 - $13 19%
Aetnamajor $10 19%
Cignamajor $17 - $20 32%
Humanamajor $10 19%
EmblemHealth $10 19%
Fidelis Care $8 - $10 15%
WellCare $6 - $9 11%
+ 10 smaller / regional plans $6 - $112

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals