CMS Price Transparency Data

Blood antibody screen

Facility: Oklahoma Heart Hospital, LLC

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $39
Cash Discount Price: $19
vs. Medicare Baseline: 0.73x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Oklahoma Heart Hospital, LLC is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.73x the Medicare baseline. Located in 4050 West Memorial Road, Oklahoma City, OK.

Cash / Self-Pay

$19

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $19 (36%)

Insurance Median: $39 (73%)

Cash: $19 (36% of Medicare)

Ins. Median: $39 (73% 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
Aetna	$9 - $25,139	17%
Humana	$9 - $25,139	17%
Healthcare Highways	$12 - $32	23%
Healthscope	$22 - $24	41%
Oscar Insurance Company	$22 - $24	41%
Webtpa Chickasaw Nation Hch	$23 - $25	43%
Webtpa Hobby Lobby Hch	$25 - $28	47%
Coventry	$28 - $31,086	53%
Global Health	$30 - $34	56%
Sana Benefits	$31 - $35	58%
Ufcw	$31 - $35	58%
First Health Network	$33 - $37	62%
Manhattan Life	$33 - $37	62%
Cigna	$34 - $25,139	64%
Community Care	$34 - $50,277	64%
Phcs	$34 - $37	64%
Preferred Community Choice	$36 - $40	68%
Blue Cross Blue Shield	$39 - $75,038	73%
Multiplan	$43 - $48	81%
Medicare (plans)	$50 - $25,893	94%
UnitedHealthcare	$50 - $26,704	94%
Va Ccn	$50 - $25,139	94%
Veterans Eval Services	$50 - $25,139	94%
Geha	$53 - $26,704	100%
Ambetter / Centene	$70 - $35,194	131%
The Kempton Group	$125 - $62,847	235%

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 $19.
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 Oklahoma Heart Hospital, LLC 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.