CMS Price Transparency Data

Blood antibody screen

Facility: Northwest Hills Surgical Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$55
about 1.0× the $53 Medicare rate · typically $11–$76
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $18 under the fair price · 0.7× Medicare
Medicare pays $53 Fair price $55 This hospital $37

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $37

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $55 (about 1.0× the $53 Medicare rate). Northwest Hills Surgical Hospital charges insurers about $37 — below the fair price — a good deal. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $94 - $233 177%
Aetnamajor $10 - $53 19%
Cignamajor $20 38%
Humanamajor $16 30%
+ 2 smaller / regional plans $31 - $53
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals