CMS Price Transparency Data

Blood antibody screen

Facility: Woodland Heights Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $100
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Woodland Heights Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.88x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $212 (398%)
Insurance Median: $100 (188%)
Cash: $212 (398% of Medicare)
Ins. Median: $100 (188% 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
Veterans Eval Services $10 19%
Blue Cross Blue Shield $15 - $138 28%
UnitedHealthcare $17 - $418 32%
Cigna $25 47%
Self Pay $47 - $94 88%
Tricare $50 - $52 94%
Department Of Veterans Affairs $52 98%
Humana $52 98%
Medicare (plans) $52 98%
Node Triwest $52 98%
Node Va $52 98%
American Health Mcr Adv $54 101%
Node Amerigroup Mcr Adv $54 101%
Node Procare Advantage $54 101%
Provider Partners Health Plan $54 101%
Superior $54 - $105 101%
Node Us Dept Of Labor $65 122%
Angelina County $79 148%
Corporate Remedies $79 148%
Partners Direct Health $79 148%
Node Brookshire Brothers $92 173%
Node Brookshire Brothers Work Comp Tx $97 182%
Usa Managed Care $97 182%
Medicaid / KanCare $100 - $147 188%
Work Comp $105 197%
Amerigroup $147 276%
Texas Rehab Commission $236 443%
Aetna $499 - $801 937%
Multiplan $612 - $801 1150%
Unicare $659 1238%
Galaxy Health Network $801 1505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals