CMS Price Transparency Data
Blood antibody screen
Facility: San Antonio Regional Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $53
- Cash Discount Price: $185
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at San Antonio Regional Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.00x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$185
Average discount available for prompt cash payment at this facility.
Insurance Median
$53
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: $185 (347%)
Insurance Median: $53 (100%)
Cash: $185 (347% of Medicare)
Ins. Median: $53 (100% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alpha Care Mg Mcal/Hlthy Kids | $4 | 8% |
| Blue Cross Blue Shield | $4 - $291 | 8% |
| Heritage Prov Ntwrk/Regal Mcal | $4 | 8% |
| Kaiser Medi-Cal | $4 | 8% |
| Medi-Cal | $4 | 8% |
| Molina Medi-Cal | $4 | 8% |
| UnitedHealthcare | $4 - $201 | 8% |
| Iehp Mcal | $5 | 9% |
| Ambetter / Centene | $7 - $97 | 13% |
| Healthnet Medi-Cal | $8 | 15% |
| Blue Shield Mcr Adv | $10 | 19% |
| Caremore Mcr Adv - All Plans | $10 | 19% |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | $10 | 19% |
| Healthnet Mcr Adv | $10 | 19% |
| Humana | $10 | 19% |
| Iehp Mcr Adv | $10 | 19% |
| Inter Valley Hp Mcr Adv- All Plans | $10 | 19% |
| Kasiser Mcr Adv | $10 | 19% |
| Kindred Mcr Adv-All Plans | $10 | 19% |
| Molina Mcr Adv | $10 | 19% |
| Scan Health Plan Mcr Adv-All Plans | $10 | 19% |
| Tricare | $10 | 19% |
| Universal Care - All Plans | $10 | 19% |
| Zelis Mcr Adv | $10 | 19% |
| Epic Health Plan - All Other Plans | $11 - $160 | 21% |
| Imperial Health Mcr Adv-All Plans | $11 | 21% |
| Choice Phycn Ntwrk Op Only | $12 | 23% |
| Aetna | $13 - $535 | 24% |
| Molina Exchange-All Other Plans | $13 | 24% |
| Blue Shield Hmo Pos / Calpers Ppo | $14 - $198 | 26% |
| Iehp Comm - All Other Plans | $14 | 26% |
| Blue Shield Epo Ppo - All Other Plans | $15 - $215 | 28% |
| Redlands Employee | $15 | 28% |
| Redlands Hmo-All Other Plans | $15 | 28% |
| Prime Health - All Plans | $17 | 32% |
| Pc Inland Valley Scan | $19 - $268 | 36% |
| Pc Inland Valley-All Other Plans | $19 - $268 | 36% |
| Coventry Ccn/First Hlth - All Plans | $21 - $294 | 39% |
| Healthnet - All Other Plans | $23 | 43% |
| Choicecare Ntwrk-All Plans | $27 - $385 | 51% |
| Kaiser Comm - All Other Plans | $27 | 51% |
| Multiplan/Phcs - All Plans | $27 - $385 | 51% |
| Networks By Design - All Plans | $28 - $401 | 53% |
| Zelis Comm-All Other Plans | $28 - $401 | 53% |
| Foundation Inland Epo-All Other Plans | $30 - $428 | 56% |
| Foundation Inland Ppo | $32 - $455 | 60% |
| Blue Shield Epn | $33 | 62% |
| Health Payors - All Plans | $34 - $482 | 64% |
| Interplan - All Plans | $34 - $482 | 64% |
| Cigna | $36 | 68% |
| Wellcare/Easy Choice-All Plans | $37 - $524 | 69% |
| Alpha Care Mg Mcr Adv | $38 - $535 | 71% |
| Central Hlth Plan Mcr Adv-All Plans | $38 - $535 | 71% |
| Epic Health Plan Mcr Adv | $38 - $535 | 71% |
| Prospect Hp-All Plans | $38 - $535 | 71% |
| Providence Clevercare Mcr Adv | $38 - $535 | 71% |
| Heritage Prov Ntwrk/Regal Mcr Adv | $39 - $543 | 73% |
| Clever Care Mcr Adv - All Plans | $40 - $562 | 75% |
| La Salle Hp Mcr Adv-All Plans | $40 - $562 | 75% |
| Providence Oscar-All Other Plans | $40 - $562 | 75% |
| Alpha Care Mg-All Other Plans | $48 - $669 | 90% |
| Heritage Prov Ntwrk/Regal - All Other Plans | $70 - $983 | 131% |