CMS Price Transparency Data

Blood antibody screen

Facility: Comanche County Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $75
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Comanche County Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.41x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $129 (242%)
Insurance Median: $75 (141%)
Cash: $129 (242% of Medicare)
Ins. Median: $75 (141% 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
Swhp Comm - All Other Plans $19 - $20 36%
Blue Cross Blue Shield $21 - $22 39%
Choicecare Comm - All Other Plans $72 - $75 135%
Choicecare Mcr Adv $72 - $75 135%
Humana $72 - $143 135%
Molina Mcr Adv - All Other Plans $72 - $75 135%
Pphp Mcr Adv - All Plans $72 - $75 135%
Superior Epo/Hmo - All Plans $72 - $75 135%
Swhp Mcr Adv $72 - $75 135%
Wellmed Mcr Adv - All Plans $72 - $75 135%
Alliance Wc - All Plans $108 - $113 203%
Aetna $122 - $129 229%
Molina Mcaid $122 - $129 229%
Swhp Mcaid $122 - $129 229%
Cigna $126 - $133 237%
Occunet - All Plans $146 - $153 274%
First Care Hmo - All Other Plans $165 - $173 310%
First Care Hmo Self Funded $165 - $173 310%
Mpi - All Plans $175 - $184 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals