CMS Price Transparency Data

Blood antibody screen

Facility: Sharp Chula Vista Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $76
Cash Discount Price: $117
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Sharp Chula Vista Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.43x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $117 (220%)

Insurance Median: $76 (143%)

Cash: $117 (220% of Medicare)

Ins. Median: $76 (143% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$1 - $206	2%
UnitedHealthcare	$1 - $231	2%
Blue Shield	$16 - $206	30%
Community Health Group	$16 - $180	30%
Molina	$16 - $180	30%
Medicare (plans)	$19 - $143	36%
Multiplan	$19 - $76	36%
San Diego Pace	$19 - $180	36%
Health Net	$26 - $508	49%
Managed Health Network	$26 - $164	49%
Medi-Cal	$26 - $108	49%
Blue Cross Blue Shield	$31 - $211	58%
Cigna	$35 - $177	66%
Allianz Global Assistance	$38 - $72	71%
Humana	$38 - $143	71%
Indian Health Council	$38 - $170	71%
California Health And Wellness	$39	73%
Epic Americas	$39 - $193	73%
Interplan	$154 - $164	289%
County Medical Services	$180	338%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.