CMS Price Transparency Data

Blood antibody screen

Facility: Huntington Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $67
Cash Discount Price: $88
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Huntington Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.26x the Medicare baseline. Located in 100 W California Blvd, Pasadena, CA.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $88 (165%)

Insurance Median: $67 (126%)

Cash: $88 (165% of Medicare)

Ins. Median: $67 (126% 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	$15 - $65	28%
Avanti Hospitals, Llc	$67	126%
California Physiciansæ Service, Dba Blue Shield Of California	$67	126%
Dignity Health	$67	126%
Heritage Provider Network	$67	126%
Humana	$67	126%
Inter Valley Health Plan	$67	126%
Pacific Pace, Llc And Pasadena Hospital Association, Ltd	$67	126%
Prospect Health Plan, Inc.	$67	126%
Universal Care, Inc. D/B/A Brand New Day	$67 - $100	126%
Health Net Of California, Inc.	$69 - $95	130%
L.A. Care Health Plan	$86	162%
Providence St. Joseph Health Network	$133	250%
Kaiser Foundation Hospitals On Behalf Of Its Southern California Region	$200	376%

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 $88.
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 Huntington Hospital 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.