CMS Price Transparency Data

Blood antibody screen

Facility: Central Texas Rehabilitation Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $101
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Central Texas Rehabilitation Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.90x the Medicare baseline. Located in 700 W 45Th St, Austin, TX.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $101 (190%)
Insurance Median: $101 (190%)
Cash: $101 (190% of Medicare)
Ins. Median: $101 (190% 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
Aetna $10 - $206 19%
Ascension Personalized Care Cpd $10 - $206 19%
Ascension Smart Health Cpd $10 - $206 19%
Blue Cross Blue Shield $10 - $206 19%
Cigna $10 - $206 19%
Covenant Management Cpd $10 - $206 19%
Curative Health Cpd $10 - $206 19%
Devoted Health Mcr Adv $10 - $206 19%
Humana $10 - $206 19%
Medicare (plans) $10 - $206 19%
Oscar Health Plan Aca Exch Plan $10 - $206 19%
Sendero Health Plan Chap $10 - $206 19%
Sendero Health Plan Ideal Care $10 - $206 19%
Seton Health Plan-Smarthealth $10 - $206 19%
Superior Health Plan Cpg $10 - $206 19%
Triwest Cpg $10 - $206 19%
UnitedHealthcare $10 - $206 19%
Va Triwest Cpg $10 - $206 19%
Wellmed Allcare Mgg $10 - $206 19%
Wellmed Mgg $10 - $206 19%
Wellmed Tx Mgg $10 - $206 19%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 W 45Th St, Austin, TX 78751
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL