CMS Price Transparency Data

Blood antibody screen

Facility: Adventist Health Hanford

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $71
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Adventist Health Hanford is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.33x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $26 (49%)
Insurance Median: $71 (133%)
Cash: $26 (49% of Medicare)
Ins. Median: $71 (133% 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
Bc Mcal $3 6%
Aetna $4 - $78 8%
Kaiser Mcal $4 8%
Medi-Cal $4 8%
UnitedHealthcare $4 - $90 8%
Western Growers/Pinnacle- All Plans $4 - $99 8%
Blue Shield Epn $5 - $101 9%
Blue Shield Non-Epn - All Other Plans $5 - $111 9%
Healthnet - All Other Plans $5 - $115 9%
Healthnet Mcal $5 9%
Kaiser - All Other Plans $5 - $108 9%
Cigna $6 - $128 11%
Fresno - All Plans $6 11%
Phcs Ppo- All Plans $6 - $140 11%
Valley Childrens - All Plans $6 11%
Community Hlth Ntwork-All Plans $7 - $144 13%
Beech Street- All Plans $8 - $183 15%
Choicecare- All Plans $8 - $176 15%
First Health - All Plans $8 - $168 15%
Interplan- All Plans $8 - $181 15%
Multiplan- All Plans $8 - $178 15%
Pacific Health Alliance- All Plans $9 - $209 17%
Preferred Health Network- All Plans $9 - $204 17%
Blue Shield Mcr Adv $10 19%
Fhcn Pace Mcr Adv-All Plans $10 19%
Healthnet Mcr Adv $10 19%
Kaiser Mcr Adv $10 19%
Key Medical Mcr Adv $10 19%
Prime Health Mcr Adv- All Plans $10 19%
Tricare $10 19%
Key Medical Group Commercial - All Other Plans $11 - $21 21%
Bright Health Mcr Adv-All Plans $15 28%
Ah Employee Health Plan - All Plans $18 34%
Blue Cross Blue Shield $110 - $132 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals