CMS Price Transparency Data

Blood antibody screen

Facility: Womans Hospital of Texas,The

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $106
  • Cash Discount Price: $831
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Womans Hospital of Texas,The is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $831. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.99x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$831

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $831 (1561%)
Insurance Median: $106 (199%)
Cash: $831 (1561% of Medicare)
Ins. Median: $106 (199% 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
American Health Plan $10 19%
Amerigroup $10 - $116 19%
Blue Cross Blue Shield $10 - $291 19%
Cigna $10 - $52 19%
Devoted Health $10 19%
Humana $10 - $106 19%
Integranet Amerigroup Ipa $10 19%
Kelsey Seybold $10 19%
Oscar $10 - $28 19%
Procare Advantage $10 19%
Provider Partners Health Plan Of Texas $10 19%
Shared Health $10 19%
Superior Health Plan $10 - $50 19%
Triwest Healthcare Alliance $10 19%
United $10 - $374 19%
Van Lang Ipa $10 19%
Wellcare $10 19%
Wellmed $10 19%
Molina $11 21%
Universal Healthcare Group $12 23%
Verda Health Plan $13 24%
Community Health Choice $14 26%
Superior $14 - $15 26%
Corvel Corporation $19 36%
Molina Healthcare $21 39%
Omni Healthcare $21 39%
Healthcare Highways $24 45%
Aetna $26 - $52 49%
Community Health Choice Mcd $108 203%
Texas Childrens Health Plans $197 - $217 370%
Evry Health $227 426%
Imagine Health $291 547%
Kelsey Care (Boon-Chapman) $291 547%
Christus (Usfhp) $332 - $333 624%
Healthsmart Preferred Care $357 - $707 671%
Averde Health $374 702%
Fidelis Securecare Of Tx $374 702%
Coventry National First Health $443 832%
Physicians Cooperative Of Texas $457 - $458 858%
Rockport Workers Comp $457 - $458 858%
Independent Medical System $499 937%
National Healthcare Solutions $499 937%
Southwest Medical $499 937%
Coastal Comp $540 - $541 1014%
Affiliated Ppo $623 - $624 1170%
Fiesta Mart, Inc $623 - $624 1170%
Multiplan $623 - $707 1170%
Physicians, Inc $706 - $707 1326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals