CMS Price Transparency Data

Blood antibody screen

Facility: Oroville Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $98
Cash Discount Price: $60
vs. Medicare Baseline: 1.84x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Oroville Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.84x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $60 (113%)

Insurance Median: $98 (184%)

Cash: $60 (113% of Medicare)

Ins. Median: $98 (184% 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
Blue Cross Blue Shield	$28 - $147	53%
Blue Shield Value Network	$28	53%
Butte County	$36 - $47	68%
Cigna	$82 - $107	154%
Coventry Health Care	$82 - $107	154%
Health Net	$82 - $107	154%
Multiplan	$82 - $107	154%
Interplan	$88 - $114	165%
Three Rivers Provider Network	$88 - $114	165%
UnitedHealthcare	$88 - $114	165%
Beech Street	$93 - $121	175%
Healthstar	$93 - $121	175%
Health Payors Organization	$98 - $127	184%
Blue Shield Of California	$100 - $130	188%

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 $60.
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 Oroville Hospital 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.