CMS Price Transparency Data

Blood antibody screen

Facility: Glendale Adventist Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $25
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Glendale Adventist Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.47x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $8 (15%)
Insurance Median: $25 (47%)
Cash: $8 (15% of Medicare)
Ins. Median: $25 (47% 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 Medi-Cal $3 6%
Employers Health Network - All Plans $3 - $22 6%
Phys Assoc Op Only- All Plans $3 - $22 6%
Blue Shield Epn - All Other Plans $4 - $83 8%
Blue Shield Non Epn $4 - $96 8%
Healthnet Mcal $4 8%
Heritage Mcal $4 8%
Medi-Cal $4 8%
Molina Mcal $4 8%
UnitedHealthcare $4 - $107 8%
Healthcare Partners- All Plans $5 - $107 9%
Heritage Commercial - All Other Plans $5 - $120 9%
Heritage Sr $5 - $122 9%
La Care Mcr Adv- All Plans $5 - $124 9%
Western Growers/Pinnacle - All Plans $5 - $120 9%
Caremore Mcr Adv - All Plans $6 - $129 11%
First Health- All Plans $6 - $131 11%
Healthnet - All Other Plans $6 - $128 11%
Phcs- All Plans $6 - $147 11%
Scan Mcr Adv - All Plans $6 - $147 11%
Beech Street - All Plans $7 - $170 13%
Choicecare - All Plans $7 - $170 13%
Corvel- All Plans $8 - $181 15%
Health Mgmt Network - All Plans $8 - $192 15%
Kaiser - All Plans $8 - $192 15%
Three Rivers - All Plans $8 - $192 15%
Blue Shield Medi-Cal $9 17%
Alignment Hp Mcr Adv - All Plans $10 - $226 19%
Blue Cross Blue Shield $10 - $119 19%
Blue Shield Mcr Adv $10 19%
Molina Mcr $10 19%
Regal Med Group Mcal $10 19%
Tricare $10 19%
Regal Medical Group Commercial - All Other Plans $12 23%
Dept Of State Hsp Metropolitan- All Plans $13 24%
Molina Exchange - All Other Plans $13 24%
Healthnet Mcr Adv $14 - $321 26%
Ah Employee Health Plan - All Plans $18 34%
Centivo - All Plans $22 41%
Cigna $27 51%
Clever Care Mcr Adv - All Plans $67 126%
Aetna $85 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals