CMS Price Transparency Data

Blood antibody screen

Facility: Adventist Health Ukiah Valley

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $70
Cash Discount Price: $23
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Adventist Health Ukiah Valley is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.31x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$23

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: $23 (43%)

Insurance Median: $70 (131%)

Cash: $23 (43% 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.

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
Blue Shield Epn-All Other Plans	$4 - $72	8%
Blue Shield Non-Epn	$4 - $73	8%
Kaiser Medi-Cal	$4	8%
Medi-Cal	$4	8%
Western Growers-All Plans	$5 - $98	9%
Healthnet-All Plans	$6 - $108	11%
Mendocino Lcc District-All Plans	$6 - $122	11%
Foundation For Medical Care-All Plans	$7 - $141	13%
Beech Street-All Plans	$8 - $160	15%
Choice Care-All Plans	$8 - $160	15%
Cigna	$8 - $147	15%
Health Mgmt Network-All Plans	$8 - $160	15%
Interplan-All Plans	$8 - $154	15%
Kaiser-All Other Plans	$8 - $150	15%
Networks By Design-All Plans	$8 - $150	15%
Phcs Multiplan-All Plans	$8 - $150	15%
UnitedHealthcare	$8 - $157	15%
Three Rivers-All Plans	$9 - $169	17%
Blue Shield Mcr Adv	$10	19%
Kaiser Mcr Adv	$10	19%
Tricare	$10	19%
Ah Employee Health Plan - All Plans	$18	34%
Blue Cross Blue Shield	$109 - $146	205%
Aetna	$110	207%

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 $23.
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 Adventist Health Ukiah Valley 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.