CMS Price Transparency Data

Blood antibody screen

Facility: Baylor Scott & White Medical Center - Centennial

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $92
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Baylor Scott & White Medical Center - Centennial is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.73x the Medicare baseline. Located in 12505 Lebanon Road, Frisco, TX.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $127 (239%)
Insurance Median: $92 (173%)
Cash: $127 (239% of Medicare)
Ins. Median: $92 (173% 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
Superior Health Plan $8 - $52 15%
Wellpoint (Fka Amerigroup) $8 - $51 15%
UnitedHealthcare $10 - $57 19%
Baylor Scott & White Health Plan $25 - $161 47%
Cigna $25 - $161 47%
Aetna $28 - $153 53%
Employers Health Network $28 - $153 53%
Quiktrip $28 - $153 53%
University Of Mary Hardin-Baylor $30 - $161 56%
Imagine Health $32 - $174 60%
Curative $33 - $180 62%
First Health $36 - $194 68%
Healthsmart $36 - $208 68%
Humana $36 - $194 68%
Private Health Care System $38 - $208 71%
Triwest $50 94%
American Health Plan $52 98%
Blue Cross Blue Shield $52 - $360 98%
Corvel $52 98%
Healthspring $52 98%
Molina $52 98%
Prime Health Services $52 98%
Procare Advantage $52 98%
Ambetter / Centene $103 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12505 Lebanon Road, Frisco, TX 75035
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals