CMS Price Transparency Data

Blood antibody screen

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $63
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Texas Health Center for Diagnostics & Surgery Plan is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.18x the Medicare baseline. Located in 6020 W Parker Road, Plano, TX.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $165 (310%)
Insurance Median: $63 (118%)
Cash: $165 (310% of Medicare)
Ins. Median: $63 (118% 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
UnitedHealthcare $10 - $58 19%
Fort Worth Firefighters $20 - $168 38%
Aetna $36 - $193 68%
Amerigroup $40 - $54 75%
Blue Cross Blue Shield $40 - $290 75%
Molina $40 - $54 75%
Parkland $40 75%
Superior Wellcare $40 - $57 75%
Cigna $43 - $259 81%
American Health $51 96%
Healthspring $52 98%
Humana $53 100%
City Of Fort Worth $129 242%
Quick Trip $165 - $174 310%
Phcs $191 - $205 359%
Healthsmart $207 - $231 389%
Multiplan $240 451%
Galaxy $242 455%
Usa $242 455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6020 W Parker Road, Plano, TX 75093
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals