CMS Price Transparency Data

Blood antibody screen

Facility: Deaconess Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $59
Cash Discount Price: $163
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Deaconess Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $163. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.11x the Medicare baseline. Located in W 800 Fifth Avenue, Spokane, WA.

Cash / Self-Pay

$163

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $163 (306%)

Insurance Median: $59 (111%)

Cash: $163 (306% of Medicare)

Ins. Median: $59 (111% 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
Community Health Plan Of Washington	$3 - $94	6%
Coordinated Care	$3	6%
Molina	$3 - $110	6%
UnitedHealthcare	$3 - $162	6%
Wellpoint	$3	6%
Pacificsource	$11 - $12	21%
Cigna	$12	23%
Kaiser	$12	23%
Aetna	$30 - $58	56%
Blue Cross Blue Shield	$56	105%
Regence	$58	109%
Wellcare	$59	111%
Premera	$91 - $158	171%
Ambetter / Centene	$103	193%
Regence/Asuris	$132	248%
First Choice	$156 - $284	293%
First Health	$290	545%
Multiplan/Phcs	$298	560%

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 $163.
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 Deaconess 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.