Blood antibody screen
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $63
- Cash Discount Price: $83
- vs. Medicare Baseline: 1.18x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $50 | 94% |
| Americas Choice Provider Network | $58 | 109% |
| Usa Managed Care Organization | $63 | 118% |
| Provider Network Of America | $63 | 118% |
| Quiktrip Corporation | $63 | 118% |
| Velocity | $63 | 118% |
| Multiplan-Phcs | $67 | 126% |
| Prime Health Services | $71 | 133% |
| Medincrease | $75 | 141% |
Consumer Guidance & Cost Commentary
For the CPT code 86850, "Blood antibody screen," the Rehabilitation Hospital Of Overland Park lists a cash median price of $83.00. This rate is significantly higher than the state of Kansas average, which is $53.24, representing a markup of 120% over the Medicare benchmark. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate rates ranging from $50 to $75, these negotiated amounts often exceed the cash price. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash rate of $83.00 directly may result in lower total costs compared to using insurance, which could lead to higher out-of-pocket expenses if the negotiated rate surpasses the cash price.
To ensure you are receiving the most accurate and fair billing, it is crucial to request an itemized bill that breaks down every specific procedure and supply rather than accepting a summary invoice. Hospitals may inflate their chargemaster lists to make discounts appear larger, so comparing your final allowed amount to the Medicare rate of $53.24 provides a more objective view of the true cost. Additionally, before scheduling any services, you should explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. These discounts bypass the administrative overhead of insurance claims processing and can significantly lower your final out-of-pocket expense.