CMS Price Transparency Data

Blood antibody screen

Facility: Parkview Community Hospital Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $67
  • Cash Discount Price: $210
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Parkview Community Hospital Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.26x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.
Cash / Self-Pay
$210

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $210 (394%)
Insurance Median: $67 (126%)
Cash: $210 (394% of Medicare)
Ins. Median: $67 (126% 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.

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 $10 - $115 19%
Blue Shield $10 - $136 19%
Health Net $10 - $95 19%
Medi-Cal $10 19%
Molina Medi-Cal $10 19%
Regal $12 - $110 23%
Cigna $19 36%
UnitedHealthcare $20 - $80 38%
Ahmc $38 - $66 71%
Aetna $52 - $67 98%
Iehp $54 - $86 101%
Central Health Plan $59 111%
Humana $65 122%
Alignment $66 124%
Medicare (plans) $66 124%
Champus $67 126%
Molina Covered Ca $67 126%
Molina Senior $67 126%
Scan $67 126%
Self Pay $126 - $221 237%
Blue Shield Ppo $136 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3865 Jackson Street, Riverside, CA 92503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals