CMS Price Transparency Data

Blood antibody screen

Facility: Grand Strand Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $20
Cash Discount Price: $513
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Grand Strand Regional Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $513. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.38x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$513

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $513 (964%)

Insurance Median: $20 (38%)

Cash: $513 (964% of Medicare)

Ins. Median: $20 (38% 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
Group Health	$3	6%
Absolute Total Care	$10 - $92	19%
Aetna	$10 - $26	19%
Blue Cross Blue Shield	$10 - $487	19%
Boldage Pace	$10	19%
Clover	$10	19%
Devoted Health	$10	19%
Eon Health	$10	19%
Humana	$10 - $436	19%
Molina	$10 - $29	19%
United	$10 - $231	19%
United Behavioral Health	$10	19%
Wellcare	$10	19%
Cigna	$11 - $166	21%
Health Team Advantage	$11	21%
Universal Healthcare Group	$12	23%
Corvel Corporation	$13	24%
Employer'S Health Network	$13	24%
Prime Health	$13 - $436	24%
Heritage Summit	$14	26%
Select Health	$19	36%
Sc State Employees	$21	39%
Blue Choice Health Plan	$33	62%
Blue Choice	$35	66%
Nhc Advantage	$97	182%
Pruitt Health	$97	182%
Occunet	$256	481%
Medcost	$257 - $350	483%
Vocational Rehab	$277	520%
Employers Health Network	$282	530%
Evernorth	$410	770%
First Health	$423	795%
Global Excel Management	$426	800%
Multiplan	$436	819%
National Choicecare	$436	819%
Novanet	$462	868%

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 $513.
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 Grand Strand Regional Medical Center 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.