CMS Price Transparency Data

Blood antibody screen

Facility: Houston Methodist Sugarland Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 1.2× the $53 Medicare rate · typically $11–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
About the fair price
about $8 over the fair price · 1.3× Medicare
Medicare pays $53 Fair price $63 This hospital $71 Cash price $166 Hospital's list price $332

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 $71

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 $63 (about 1.2× the $53 Medicare rate). Houston Methodist Sugarland Hospital charges insurers about $71, or about $166 in cash — about the fair price. Located in Sugar Land, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $53 - $102 100%
Blue Cross Blue Shieldmajor $52 - $206 98%
Aetnamajor $53 100%
Cignamajor $54 - $155 101%
Molina $55 - $105 103%
+ 2 smaller / regional plans $56 - $85

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Facility Profile & Credentials

  • Address: 16655 Southwest Freeway, Sugar Land, TX 77479
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals