CMS Price Transparency Data

Blood antibody screen

Facility: City of Hope National Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.09x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at City of Hope National Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.09x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (9%)
Insurance Median: $5 (9%)
Cash: $5 (9% of Medicare)
Ins. Median: $5 (9% 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 $2 - $10 4%
Health Net $2 - $10 4%
Heritage Provider Network $2 - $10 4%
Blue Shield $3 - $6 6%
Blue Shield Covca $3 6%
Blue Shield Promise $3 6%
Cal Optima $3 - $10 6%
UnitedHealthcare $3 - $10 6%
Cencal $4 8%
Inland Empire $4 - $10 8%
Kaiser $4 8%
La Care Health $4 8%
Aetna $5 9%
Cigna $5 9%
Gold Coast $5 9%
Molina $5 - $6 9%
Prime Healthcare Keenan $5 - $10 9%
Healthcare Partners $6 11%
Primecare Medical Network $6 11%
St. Joseph Heritage $6 11%
First Health $8 15%
Phcs Multiplan $9 17%
Facey $10 19%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 Duarte Rd, Duarte, CA 91010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL