CMS Price Transparency Data

Blood antibody screen

Facility: St Jude Childrens Research Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $65
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at St Jude Childrens Research Hospital is $65. 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 1.22x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $65 (122%)
Ins. Median: $65 (122% 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
UnitedHealthcare $2 - $203 4%
Empower $5 9%
Healthcare Connections La $7 13%
Healthy Blue $7 13%
Medicaid / KanCare $10 - $44 19%
Blue Cross Blue Shield $21 - $32 39%
Tenncare Select Hmo $23 43%
Home State Health $44 83%
Molina Marketplace Of Ms $64 120%
Health Choice - Ok $67 126%
Vantage $169 - $189 317%
Humana $183 344%
Aetna $212 398%
Private Health Care Systems $226 424%
Ms Physicians Care Network $240 451%
Baptist Health $254 477%
Cigna $254 477%
First Health Ccn $254 477%
Health Choice $254 477%
Health Link Mississippi $254 477%
Healthscope Benefits Inc $254 477%
Tricare $282 530%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 262 Danny Thomas Place, Memphis, TN 38105
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens