CMS Price Transparency Data

Blood antibody screen

Facility: Methodist Hospital Atascosa

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $23
Cash Discount Price: $458
vs. Medicare Baseline: 0.43x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Methodist Hospital Atascosa is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $458. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.43x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$458

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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: $458 (860%)

Insurance Median: $23 (43%)

Cash: $458 (860% of Medicare)

Ins. Median: $23 (43% 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
Wellmed	$9	17%
Aetna	$10	19%
American Health Plan Of Texas	$10	19%
Blue Cross Blue Shield	$10 - $138	19%
Clover Insurance	$10	19%
Devoted Health	$10	19%
Gonzaba Medical Group	$10	19%
Ilumed	$10	19%
Integranet	$10	19%
Superior Health	$10 - $23	19%
Texas Independent Health Plan	$10	19%
Triwest	$10	19%
Triwest Va Pccc	$10	19%
United	$10 - $208	19%
Wellcare	$10	19%
Focus Healthcare Management	$14	26%
Cigna	$16 - $21	30%
Focus Health Solutions	$23	43%
Healthcare Highways	$23	43%
Oscar	$26	49%
Community First Health Plans	$55 - $125	103%
Imperial Insurance	$86 - $88	162%
Valenz	$159 - $162	299%
Evry Health	$167 - $170	314%
Healthsmart Preferred Care	$250 - $254	470%
Multiplan	$341 - $393	640%
Triwest Health Alliance	$341 - $347	640%

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 $458.
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 Methodist Hospital Atascosa 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.