CMS Price Transparency Data

Blood antibody screen

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $91
Cash Discount Price: $102
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Baylor Scott & White Medical Center - Round Rock is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.71x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $102 (192%)

Insurance Median: $91 (171%)

Cash: $102 (192% of Medicare)

Ins. Median: $91 (171% 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
Superior Health Plan	$10 - $49	19%
UnitedHealthcare	$11 - $56	21%
Baylor Scott & White Health Plan	$18 - $104	34%
Cigna	$23 - $147	43%
Aetna	$27 - $134	51%
Midcoast	$27 - $134	51%
Quiktrip	$27 - $134	51%
University Of Mary Hardin-Baylor	$28 - $141	53%
Independent Medical System	$29 - $146	54%
Curative	$32 - $159	60%
Humana	$32 - $171	60%
First Health	$34 - $171	64%
Healthsmart	$34 - $183	64%
Bluebell Creameries	$37 - $183	69%
Private Health Care System	$37 - $183	69%
Three Rivers	$44 - $220	83%
Triwest	$48	90%
American Health Plan	$51	96%
Blue Cross Blue Shield	$51 - $293	96%
Corvel	$51	96%
Healthspring	$51	96%
Prime Health Services	$51	96%
Procare Advantage	$51	96%
Injury Management Organization	$60	113%
Careworks Fka Rockport	$72	135%
Sedgwick	$72	135%

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 $102.
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 Baylor Scott & White Medical Center - Round Rock 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.