CMS Price Transparency Data

Blood antibody screen

Facility: Kell West Regional Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $50
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Kell West Regional Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.94x the Medicare baseline. Located in 5420 Kell West Boulevard, Wichita Falls, TX.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $251 (471%)
Insurance Median: $50 (94%)
Cash: $251 (471% of Medicare)
Ins. Median: $50 (94% 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 $8 - $50 15%
UnitedHealthcare $13 24%
Medicaid / KanCare $15 28%
Uhc_Community_Plan $15 28%
Cigna $33 - $66 62%
Blue Cross Blue Shield $49 - $95 92%
Medicare (plans) $49 92%
Humana $50 - $95 94%
Medadv_Uhc $50 94%
Tricare $54 101%
Healthsmart_Ppo $66 124%
Phcs $71 133%
Self_Pay $76 143%
Multiplan $81 152%
Blue_Advantage_Bav $95 178%
Blue_Essentials $156 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5420 Kell West Boulevard, Wichita Falls, TX 76310
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals