CMS Price Transparency Data

Blood antibody screen

Facility: Knapp Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $52
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Knapp Medical Center is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $52 (98%)
Insurance Median: $52 (98%)
Cash: $52 (98% of Medicare)
Ins. Median: $52 (98% 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
Corvel $36 68%
Zelis Healthcare Fka Stratose $39 73%
Provider Network Of America $42 79%
Provider Select $46 86%
Three Rivers $47 88%
Americas Choice Provider Network (Acpn) $51 96%
Division Of Immigration Health $51 96%
Blue Cross Blue Shield $52 - $179 98%
Cigna $52 - $54 98%
Coventry (First Health) $52 98%
Medicare (plans) $52 98%
Prime Health Services $52 98%
Superior Health Plan $52 - $68 98%
Texas Bluebonnet Health Plan $52 - $86 98%
Tricare $52 98%
UnitedHealthcare $52 98%
Veterans Evaluation Services $52 98%
Wellmed Aarp Ma Fka Physicians Health Choice $52 98%
Worker Comp $52 98%
Imperial Insurance Companies $55 103%
Molina $55 - $81 103%
Multiplan $55 103%
Provider Partners Health Plan $55 103%
Texas Oncology Pa Op $65 122%
Frontier Health (Fka Asserta Health) $68 128%
Magic Valley Electric Cooperative $68 128%
Employer Direct Healthcare $73 137%
Corporate Remedies (Wc) $78 147%
Naphcare $81 152%
Occunet $91 171%
Baker Benefits Administrators $104 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals