CMS Price Transparency Data

Blood antibody screen

Facility: Temple University Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $19
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Temple University Hospital is $19. 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 0.36x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (36%)
Ins. Median: $19 (36% 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
Amerihealth Caritas $8 - $10 15%
Aetna $10 - $110 19%
Blue Cross Blue Shield $10 - $114 19%
Cigna $10 - $13 19%
Clover Health $10 19%
Health Partners Plans $10 19%
Humana $10 19%
Innovage $10 19%
Keystone First $10 - $21 19%
UnitedHealthcare $10 - $139 19%
Upmc Health Plan $10 - $19 19%
Geisinger $11 - $112 21%
Pennsylvania Health And Wellness $11 - $19 21%
Elder Health $12 23%
Gateway Health Plan $12 23%
Wtc Health Program $12 23%
Naphcare $15 28%
Occunet $15 28%
Oscar Health $15 28%
Prime Health Services $16 30%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3401 North Broad Street, Philadelphia, PA 19140
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals