CMS Price Transparency Data

Blood antibody screen

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $31
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at University of Texas M. D. Anderson Cancer Center is $31. 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 0.58x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $31 (58%)
Ins. Median: $31 (58% 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
Texaschildrens $12 - $22 23%
Medicare (plans) $16 - $22 30%
Vacare $16 - $88 30%
Memorialhermannhealth $24 - $38 45%
Blue Cross Blue Shield $26 - $36 49%
Cigna $26 - $38 49%
UnitedHealthcare $26 - $38 49%
Aetna $27 - $38 51%
Humana $27 - $38 51%
Ontarioministriesofhealth $27 - $37 51%
Beijingst.Lucia $28 - $38 53%
Embassyofqatar $28 - $38 53%
Emergingtherapysolutions $28 - $40 53%
Interlink $28 - $42 53%
Tricare $28 - $38 53%
Emergingtherapysolutions_Cancercare $30 - $40 56%
Interlink_Cancercare $30 - $40 56%
Saudiarmedforces $30 - $40 56%
Uae_Medical $30 - $40 56%
Uaepoliceattache $30 - $40 56%
Healthsmart $31 - $42 58%
Multiplan $31 - $43 58%
Phcs $31 - $43 58%
Vantage $31 - $42 58%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL