CMS Price Transparency Data

Blood antibody screen

Facility: Medical City Lewisville

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $87
  • Cash Discount Price: $1,265
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medical City Lewisville is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,265. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.63x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,265

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $1,265 (2376%)
Insurance Median: $87 (163%)
Cash: $1,265 (2376% of Medicare)
Ins. Median: $87 (163% 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
Cook Childrens Health Plan $6 11%
Aetna $10 - $990 19%
American Health Plan Of Texas, Inc. $10 19%
Amerigroup $10 19%
Blue Cross Blue Shield $10 - $605 19%
Care N Care $10 19%
Cigna $10 - $191 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 - $95 19%
Texas Independent Health Plan $10 19%
Triwest Health Alliance $10 19%
United $10 - $271 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 - $1,090 36%
Oscar $25 47%
Molina Healthcare $26 49%
Unicare $280 - $1,362 526%
Healthcare Highways $286 - $460 537%
Evry Health $301 - $352 565%
City Of Mckinney $525 - $613 986%
Fidelis Securecare $525 - $613 986%
National Choicecare $584 - $681 1097%
Pc Texas Partners $642 - $749 1206%
Physicians Coop Of Tx $642 - $749 1206%
Rockport Health Group $642 - $749 1206%
Averde Health, Inc $677 - $790 1272%
Usc Health Services $700 - $817 1315%
Coastal Comp Health Networks $817 - $954 1535%
Jostens $817 - $954 1535%
Mega Life $817 - $954 1535%
Multiplan Phcs $817 - $954 1535%
Healthsmart Preferred Care $875 - $1,022 1644%
Lewisville Isd/Dls Consulting $875 - $1,022 1644%
Galaxy Health Network $992 - $1,158 1863%
Independent Medical Systems $1,167 - $1,362 2192%
National Healthcare Solutions $1,167 - $1,362 2192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals