CMS Price Transparency Data

Blood antibody screen

Facility: Laredo Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $99
  • Cash Discount Price: $145
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Laredo Medical Center is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.86x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$145

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $145 (272%)
Insurance Median: $99 (186%)
Cash: $145 (272% of Medicare)
Ins. Median: $99 (186% 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
Veterans Eval Services $10 19%
Blue Cross Blue Shield $15 - $107 28%
Medicaid / KanCare $25 - $50 47%
Molina $25 - $50 47%
UnitedHealthcare $25 - $140 47%
Amerigroup $26 49%
Cigna $26 - $314 49%
Superior $26 - $54 49%
Self Pay $34 - $64 64%
Node Hospice Non Par Agree $50 94%
Humana $52 98%
Medicare (plans) $52 98%
Node Champva $52 98%
Node Ice Health Service Corps $52 98%
Node Va $52 98%
Tricare $52 98%
Triwest $52 98%
Aetna $53 - $284 100%
American Health $54 101%
Node Amerigroup Mcr Adv $54 101%
Node Tihp Mcr Adv $54 101%
Provider Partners Health Plan $54 101%
Node Wellpoint Mcr Adv $55 103%
Industrial Rehab $60 113%
Node Us Dept Of Labor $65 122%
Node Molina Health Exchange $87 163%
Node Brookshire Brothers $92 173%
Node Brookshire Brothers Work Comp Tx $97 182%
Coventry Hcn Tx Work Comp $99 186%
Health Smart $99 - $343 186%
Lonestar Athletic $100 188%
Node Superior Commercial Exchange $105 197%
Tx Work Comp $105 197%
Imo Work Comp $120 225%
Node Naphcare $120 225%
Tx Workforce Commission $162 304%
Mutual Of Omaha $319 - $466 599%
Multiplan Primary $368 691%
Medical Control $407 764%
Accountable Health Plans $417 - $441 783%
Health Headquarters $417 783%
Multiplan $426 800%
Nha $431 810%
Galaxy Health Network $434 815%
Cchn $441 828%
Nppn Plan Vista $441 828%
Ppo Next $441 828%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals