CMS Price Transparency Data

Blood antibody screen

Facility: Rio Grande Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $10
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Rio Grande Regional Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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%)
Insurance Median: $10 (19%)
Ins. Median: $10 (19% 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 19%
Allegian Health $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 - $155 19%
Cigna $10 - $36 19%
Humana $10 - $28 19%
Independent Medical System $10 19%
Physicians Health Choice $10 19%
Prominence Health $10 19%
Provider Partners Health Plan Of Texas $10 19%
Shared Health $10 19%
Superior Health Plan $10 19%
Triwest Healthcare Alliance $10 19%
United $10 19%
Wellmed $10 19%
Molina $11 21%
Universal Health Care $12 23%
Superior $15 28%
Corvel Corporation $19 36%
Focus Healthcare $20 38%
Omni Healthcare $21 39%
Oscar $23 43%
Healthcare Highways $24 45%
Molina Healthcare $24 45%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals