CMS Price Transparency Data

Blood antibody screen

Facility: Medical City Fort Worth

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $55
  • Cash Discount Price: $410
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Medical City Fort Worth is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $410. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.03x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$410

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $410 (770%)
Insurance Median: $55 (103%)
Cash: $410 (770% of Medicare)
Ins. Median: $55 (103% 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 - $267 19%
American Health Plan Of Texas, Inc. $10 19%
Amerigroup $10 19%
Blue Cross Blue Shield $10 - $201 19%
Care N Care $10 19%
Cigna $10 - $240 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 - $32 19%
Texas Independent Health Plan $10 19%
Triwest $10 19%
United $10 - $85 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 - $362 36%
Oscar $25 47%
Molina Healthcare $26 49%
Unicare $81 - $453 152%
Healthcare Highways $90 - $153 169%
Evry Health $95 - $117 178%
City Of Mckinney $166 - $204 312%
Fidelis Securecare $166 - $204 312%
Emerging Therapy Solutions $184 - $326 346%
National Choicecare $184 - $226 346%
Pc Texas Partners $203 - $249 381%
Physicians Coop Of Tx $203 - $249 381%
Rockport Health Group $203 - $249 381%
Averde Health, Inc $214 - $262 402%
Coastal Comp Health Networks $258 - $317 485%
Mega Life $258 - $317 485%
Multiplan Phcs $258 - $317 485%
Healthsmart Preferred Care $261 - $321 490%
Lewisville Isd/Dls Consulting $276 - $339 518%
Usc Health Services $295 - $362 554%
Galaxy Health Network $313 - $385 588%
UnitedHealthcare $317 - $389 595%
Independent Medical Systems $368 - $453 691%
National Healthcare Solutions $368 - $453 691%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals