CMS Price Transparency Data

Blood antibody screen

Facility: Penn Presbyterian Medical Center

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$45
about 0.8× the $53 Medicare rate · typically $11–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Above the fair price
about $13 over the fair price · 1.1× Medicare
Medicare pays $53 Fair price $45 This hospital $58 Cash price $643 Hospital's list price $643

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $58

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $45 (about 0.8× the $53 Medicare rate). Penn Presbyterian Medical Center charges insurers about $58, or about $643 in cash — above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $45. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $17 - $643 32%
Blue Cross Blue Shieldmajor $9 - $643 17%
Aetnamajor $20 - $643 38%
Cignamajor $17 - $204 32%
Humanamajor $56 - $514 105%
Clover Health $59 111%
Geisinger $56 - $173 105%
Health Net $386 725%
HealthPartners $56 - $643 105%
Oscar Health $93 175%
UPMC Health Plan $14 - $643 26%
+ 38 smaller / regional plans $8 - $643
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals