CMS Price Transparency Data

Blood antibody screen

Facility: Redlands Community Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $70
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Redlands Community Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.31x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $59 (111%)
Insurance Median: $70 (131%)
Cash: $59 (111% of Medicare)
Ins. Median: $70 (131% 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
Kaiser Medi-Cal $8 15%
Alinment Health Plan Mcr Adv-All Plans $10 19%
Epic Health Plan Senior $10 19%
Health Net Healthy Families $10 19%
Health Net Healthy Kids $10 19%
Health Net-All Other Plans $10 - $38 19%
Iehp Health Access Senior $10 19%
Iehp Mcr Adv $10 19%
Kaiser Senior $10 19%
Medicare (plans) $10 19%
Tricare $10 19%
UnitedHealthcare $10 - $251 19%
Health Net Mcr Adv $11 21%
Llumc Sr $11 21%
Universal Care-All Plans $11 21%
Caremore Mcr Adv-All Plans $12 23%
Central Health Plan Sr-All Plans $12 23%
Dsh - All Plans $13 24%
Epic Health Plan-All Other Plans $13 24%
Patton Dsh Mcr Adv-All Plans $13 24%
Llumc-All Other Plans $14 26%
Blue Shield Mcare $28 53%
Pacificare (Rmg) - All Other Plans $31 - $117 58%
Heritage/Regal Med Grp Sr $52 - $196 98%
Heritage/Regal Med Grp-All Other Plans $52 - $196 98%
Mhn-All Plans $52 - $196 98%
Kaiser Comm-All Other Plans $56 105%
Blue Shield Ppo/Epo/Hmo - All Other Plans $62 - $234 116%
Beaver-All Other Plans $66 - $246 124%
Pinnacle Op Only-All Plans $66 - $246 124%
Rymg Op Only-All Plans $66 - $246 124%
Aetna $68 - $254 128%
Coventry-All Plans $73 - $274 137%
Multiplan Kaiser $75 - $282 141%
Cigna $78 - $293 147%
Choicecare-All Plans $83 - $313 156%
Interplan - All Plans $83 - $313 156%
Aps-All Plans $88 - $332 165%
Beech Street-All Plans $94 - $352 177%
Medi-Cal $104 - $391 195%
Blue Cross Blue Shield $109 205%
Iehp Healthy Family And Kids $114 - $430 214%
Iehp - All Other Plans $122 - $457 229%
Pacificare Bmg/Rymg Groups Only $128 240%
Molina Medi-Cal $176 - $663 331%
Holman-All Plans $403 757%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals