CMS Price Transparency Data

Blood antibody screen

Facility: Hillcrest Hospital South

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $98
Cash Discount Price: $50
vs. Medicare Baseline: 1.84x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Hillcrest Hospital South is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.84x the Medicare baseline. Located in 8801 South 101St East Avenue, Tulsa, OK.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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%)

Cash / Self-Pay: $50 (94%)

Insurance Median: $98 (184%)

Cash: $50 (94% of Medicare)

Ins. Median: $98 (184% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthcare Highways [2210]	$42 - $72	79%
Hooray Health [8000]	$42	79%
Oncology Patient Assistance Programs [2295]	$42	79%
Oscar Insurance Company [7005]	$42	79%
Osma Health Network [2345]	$42	79%
Healthscope Benefits [2290]	$59	111%
UnitedHealthcare	$59	111%
Cigna	$66	124%
National Association Of Letter Carriers [1695]	$66	124%
Pba [1775]	$66	124%
Resource One Administrators [2815]	$72	135%
Web Tpa [2115]	$72	135%
The Kempton Group Administrators [2905]	$75	141%
Medica [2910]	$98	184%
Multiplan [1680]	$98 - $134	184%
Community Care [1290]	$125	235%
Employee Benefit Management Services [2445]	$125	235%
Phcs [1780]	$125 - $134	235%
Administrative Concepts [1005]	$134	252%
Allied Benefit Systems Inc [1030]	$134	252%
Allied National Global Care [1035]	$134	252%
Healthcost Solutions [2415]	$134	252%
Healthfirst [2395]	$134	252%
Hometown Health [2155]	$134	252%
Mayo Clinic Health Solutions [2280]	$134	252%
Mutual Of Omaha [1685]	$134	252%
New Era Life Insurance Company [1705]	$134	252%
Pan American Life Insurance Co [1770]	$134	252%
Planned Administrators Inc [2360]	$134	252%
Trustmark [2030]	$134	252%
Universal Fidelity [2085]	$134	252%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $50.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hillcrest Hospital South is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.