CMS Price Transparency Data
Blood antibody screen
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $66
- Cash Discount Price: $176
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at AHMC Anaheim Regional Medical Center is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.24x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$176
Average discount available for prompt cash payment at this facility.
Insurance Median
$66
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: $176 (331%)
Insurance Median: $66 (124%)
Cash: $176 (331% of Medicare)
Ins. Median: $66 (124% 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
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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 |
|---|---|---|
| Ahmc Reciprocity Agreement | $3 - $82 | 6% |
| Allied Physicians | $3 - $101 | 6% |
| Altamed Health Network | $3 - $66 | 6% |
| Applecare Medical Group | $3 | 6% |
| Beverly Hospital | $3 - $74 | 6% |
| Brand New Day | $3 - $84 | 6% |
| Health Net | $3 | 6% |
| Healthcare Partners | $3 - $66 | 6% |
| Healthy Way La | $3 | 6% |
| Heritage Provider Network | $3 - $90 | 6% |
| Kaiser Foundation Hospitals | $3 - $66 | 6% |
| Medical Safety Net Program | $3 | 6% |
| Non Contracted Medi-Cal | $3 | 6% |
| Talbert Medical Group | $3 - $67 | 6% |
| Caloptima | $4 - $66 | 8% |
| Monarch Health Plan | $4 - $185 | 8% |
| Prospect Health Plan | $4 - $90 | 8% |
| Affiliated Doctors Of Orange County | $8 | 15% |
| Aids Health Foundation | $10 - $66 | 19% |
| Avanti | $10 - $80 | 19% |
| Emanate Health | $10 - $84 | 19% |
| Health Net Inc | $10 - $227 | 19% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $10 | 19% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $10 | 19% |
| Hollywood Presbyterian Medpoint Mcal | $10 | 19% |
| Medi-Cal | $10 | 19% |
| Cigna | $11 - $89 | 21% |
| Netcare Life And Health Insurance | $12 - $68 | 23% |
| Advance Clinical Research Institute | $14 - $82 | 26% |
| Memorial Healthcare Ipa | $14 - $82 | 26% |
| Medical Acquisition Company | $19 - $109 | 36% |
| Private Pay Flat Rate | $20 | 38% |
| UnitedHealthcare | $20 - $39 | 38% |
| Medicare (plans) | $24 - $136 | 45% |
| Monarch Healthcare Medical Group | $24 | 45% |
| Davita Heatlhcare Partners Plan Inc | $25 - $147 | 47% |
| Healthcare Partners Commercial | $25 - $147 | 47% |
| Huntington Memorial Hospital | $25 - $147 | 47% |
| Genesis Healthcare Ipa Ancillary | $28 - $164 | 53% |
| Affiliated Health Fund | $33 - $191 | 62% |
| Allnet Preferred Provider | $33 - $191 | 62% |
| Care First | $33 - $191 | 62% |
| Interplan | $33 - $191 | 62% |
| Orange County Preferred Provider Organization | $33 - $205 | 62% |
| Private Healthcare Systems | $33 - $191 | 62% |
| Capp Care | $35 - $205 | 66% |
| Choicecare | $35 - $205 | 66% |
| Corvel | $35 - $205 | 66% |
| Multiplan Inc | $35 - $205 | 66% |
| National Provider Network | $38 - $218 | 71% |
| Three Rivers Providers Network | $38 - $218 | 71% |
| Blue Cross Blue Shield | $40 - $119 | 75% |
| First Health | $40 - $232 | 75% |
| Health Payors Organization | $42 - $246 | 79% |
| Aetna | $47 - $80 | 88% |
| Angels Baseball Workers Comp | $47 - $76 | 88% |
| Athens Administrators | $47 - $89 | 88% |
| Marriot Intl | $47 - $89 | 88% |
| Non Contracted Commercial | $47 - $273 | 88% |
| Non Contracted Workers Comp | $47 - $89 | 88% |
| Tricare | $47 - $64 | 88% |
| Veterans Administration | $47 | 88% |
| Msi/Medical Services For Indigents | $52 | 98% |
| Prospect Medical Group | $60 | 113% |
| Alta Los Angeles Hospital | $63 | 118% |
| Alignment Health Plan | $66 | 124% |
| Apa Aco Inc | $66 | 124% |
| Blue Shield Of California | $66 - $210 | 124% |
| California Health Plan | $66 | 124% |
| Central Health Of California | $66 | 124% |
| Healthnet | $66 | 124% |
| Humana | $66 | 124% |
| Pacificare | $66 | 124% |
| Scan Health Plan | $66 | 124% |
| Seoul Medical Group | $66 - $67 | 124% |
| Wellcare | $66 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $67 | 126% |
| Innovative Integrated Health (Iih)/Orange County Pace | $67 | 126% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $67 | 126% |
| Self-Pay | $67 | 126% |
| Nchp | $69 | 130% |
| Align Senior Care | $70 | 131% |
| Ahmc Health Self-Insurance Epo | $84 | 158% |
| Knox-Keene Act | $84 | 158% |