Is CPT 86850 overcharged?
86850: Blood antibody screen (Lab)
Approximate Medicare national rate
$9.77
Source: CMS Clinical Lab Fee Schedule CY2026 Q4 (national limit). National amount; actual Medicare payment varies by locality.
Hospital outpatient facility rate (OPPS, APC 5671)
$53.24
Source: CMS OPPS Addendum B, October 2026. At a hospital you usually get two bills: the facility fee (compare to this) and the physician fee (compare to $9.77).
What's a reasonable charge?
Commercial insurers typically pay roughly 1.5 to 2.5 times Medicare. If you were billed more than $29.31 for 86850, ask for an itemized bill, request the provider's cash price, and dispute the difference.
Check your whole bill
Duplicates and unbundling are often worth more than a single high price. Scan your bill free