CMS Price Transparency Data

Blood antibody screen

Facility: Medical Center of McKinney

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $77
  • Cash Discount Price: $684
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medical Center of McKinney is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $684. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.45x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$684

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $684 (1285%)
Insurance Median: $77 (145%)
Cash: $684 (1285% of Medicare)
Ins. Median: $77 (145% 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 $10 - $593 19%
American Health Plan Of Texas, Inc. $10 19%
Amerigroup $10 19%
Blue Cross Blue Shield $10 - $362 19%
Care N Care $10 19%
Cigna $10 - $652 19%
Devoted Health $10 19%
Humana $10 - $530 19%
Integranet $10 19%
Mutual Of Omaha $10 19%
Procare Advantge $10 19%
Provider Partners Health Plan $10 19%
Superior Health Plan $10 - $57 19%
Texas Independent Health Plan $10 19%
Triwest Veterans $10 19%
United $10 - $152 19%
Wellcare $10 19%
Wellmed $10 19%
Cenpatico $11 21%
Imperial Insurance Company $11 21%
Molina $11 21%
Universal Healthcare Group $12 23%
Verda Health Plan $13 24%
Bravo Health $15 28%
Superior $17 - $22 32%
Corvel Corporation $19 36%
Usa Managed Care $19 - $652 36%
Oscar $25 47%
Molina Healthcare $26 49%
Healthcare Highways $135 - $276 254%
Evry Health $142 - $210 267%
Unicare $143 - $815 269%
City Of Mckinney $193 - $285 363%
Fidelis Securecare $248 - $367 466%
National Choicecare $276 - $408 518%
Pc Texas Partners $303 - $449 569%
Physicians Coop Of Tx $303 - $449 569%
Rockport Health Group $303 - $449 569%
Averde Health, Inc $320 - $473 601%
Magellan Bh $331 - $489 622%
Value Options Behavioral Health $331 - $489 622%
Coastal Comp Health Networks $386 - $571 725%
Mega Life $386 - $571 725%
Multiplan Phcs $386 - $571 725%
Lewisville Isd/Dls Consulting $414 - $612 778%
Compsych Corporation $441 - $652 828%
Healthsmart Preferred Care $441 - $652 828%
Galaxy Health Network $469 - $693 881%
Independent Medical Systems $552 - $815 1037%
National Healthcare Solutions $552 - $815 1037%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals