CMS Price Transparency Data

Blood antibody screen

Facility: Medical City Plano

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $24
  • Cash Discount Price: $820
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medical City Plano is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.45x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$820

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $820 (1540%)
Insurance Median: $24 (45%)
Cash: $820 (1540% of Medicare)
Ins. Median: $24 (45% 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 - $496 19%
American Health Plan Of Texas, Inc. $10 19%
Amerigroup $10 19%
Blue Cross Blue Shield $10 - $364 19%
Care N Care $10 19%
Cigna $10 - $115 19%
Devoted Health $10 19%
Humana $10 - $88 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 - $143 19%
Wellcare $10 19%
Wellmed $10 19%
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 - $656 36%
Oscar $25 47%
Molina Healthcare $26 49%
Healthcare Highways $201 - $277 378%
Evry Health $212 398%
Lifecare Hospitals $246 462%
Prominence Health Plan $328 616%
City Of Mckinney $369 693%
Fidelis Securecare $369 693%
National Choicecare $410 770%
Pc Texas Partners $451 847%
Physicians Coop Of Tx $451 847%
Rockport Health Group $451 847%
Averde Health, Inc $476 894%
Texas Healthcare Foundation Wc $533 1001%
Coastal Comp Health Networks $574 1078%
Mega Life $574 1078%
Multiplan Phcs $574 1078%
Healthsmart Preferred Care $615 1155%
Lewisville Isd/Dls Consulting $615 1155%
Usc Health Services $656 1232%
Galaxy Health Network $697 1309%
Independent Medical Systems $820 1540%
National Healthcare Solutions $820 1540%
Unicare $820 1540%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals