CMS Price Transparency Data

Blood antibody screen

Facility: Dallas 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 Dallas 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 7 Medical Parkway, Dallas, 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
Aetna $12 - $86 23%
UnitedHealthcare $12 - $52 23%
Coastal Comp $25 - $51 47%
Injury Management Org $25 47%
Sedgwick $26 49%
Careworks Fka (Rockport Community Network) $49 92%
Blue Cross Blue Shield $52 - $380 98%
Care N Care Insurance Company $52 98%
Cigna $52 - $54 98%
Humana $52 98%
Medicare (plans) $52 98%
Superior Health Plan $52 - $68 98%
Texas Bluebonnett Health Plan $52 - $86 98%
Texas First Hp $52 98%
Tricare $52 98%
Usa Senior Care Network $52 98%
Wellcare $52 98%
Wellmed $52 98%
Wellpoint Amerigroup $52 - $54 98%
Imperial Insurance Company $55 103%
Molina $55 - $81 103%
Provider Partners Health Plan $55 103%
American Health Plan $57 107%
Dol Office Worker Compensation $65 122%
Hi Card $65 122%
American Correction Healthcare $72 135%
Employer Direct Healthcare $73 137%
Corporate Remedies $78 147%
Naphcare $81 152%
Worker Compensation $104 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7 Medical Parkway, Dallas, TX 75234
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals