CMS Price Transparency Data

Blood antibody screen

Facility: The Hospital at Westlake Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $48
Cash Discount Price: $105
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at The Hospital at Westlake Medical Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.90x the Medicare baseline. Located in 5656 Bee Caves Road, Suite M-302, Austin, TX.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $105 (197%)

Insurance Median: $48 (90%)

Cash: $105 (197% of Medicare)

Ins. Median: $48 (90% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United_Healthcare	$5	9%
Scott_And_White	$16	30%
Blue Cross Blue Shield	$29 - $59	54%
Aetna	$48	90%
Ambetter / Centene	$48	90%
Edhp	$48	90%
Humana	$48 - $202	90%
Mcr_United	$48	90%
Medicare (plans)	$48	90%
Sendero	$48	90%
Tricare	$48	90%
Triwest	$48	90%
Wellcare	$48	90%
Cigna	$65	122%
90_Degree_Benefits	$73	137%
Superior_Mcd	$140	263%
Multiplan	$202	379%
Beech_Street	$217	408%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Hospital at Westlake Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.