CMS Price Transparency Data

Blood antibody screen

Facility: Providence St. Joseph Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 1.4× the $53 Medicare rate · typically $11–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $5 under the fair price · 1.3× Medicare
Medicare pays $53 Fair price $74 This hospital $69 Cash price $95 Hospital's list price $197

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $3 Priciest $69

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $74 (about 1.4× the $53 Medicare rate). Providence St. Joseph Hospital charges insurers about $69, or about $95 in cash — about the fair price. Located in Orange, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20 38%
Blue Cross Blue Shieldmajor $16 - $157 30%
Aetnamajor $67 - $118 126%
Health Net $124 233%
+ 1 smaller / regional plan $57

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Facility Profile & Credentials

  • Address: 1100 West Stewart Dr, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals