CMS Price Transparency Data

Blood antibody screen

Facility: Adventist Health Bakersfield

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $20
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Adventist Health Bakersfield is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.38x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $5 (9%)
Insurance Median: $20 (38%)
Cash: $5 (9% of Medicare)
Ins. Median: $20 (38% 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%
Blue Shield Epn $3 - $80 6%
Blue Shield Epo/Ppo $4 - $89 8%
Blue Shield Hmo/Pos - All Other Plans $4 - $89 8%
Healthnet Mcal $4 8%
Kaiser Mcal Ip/Op Only $4 8%
Medi-Cal $4 8%
UnitedHealthcare $4 - $104 8%
County Of Kern - All Plans $5 - $120 9%
Gem Care- All Plans $5 - $120 9%
Kern Health Systems Mcal $5 9%
Kern Legacy Hp Epo - All Other Plans $5 - $120 9%
Kern Legacy Share Select $5 - $120 9%
Western Growers/Pinnacle- All Plans $5 - $118 9%
First Health/Coventry- All Plans $6 - $144 11%
Phcs- All Plans $6 - $156 11%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $7 - $179 13%
Interplan- All Plans $7 - $168 13%
Affiliated Health Funds-All Plans $8 - $192 15%
Beech Street- All Plans $8 - $204 15%
Integrated Health Plan-All Plans $8 - $192 15%
Three Rivers Provider Network- All Plans $8 - $192 15%
Galaxy Health Network- All Plans $9 - $216 17%
Blue Shield Mcr Adv $10 19%
Fhcn Pace Mcr Adv - All Plans $10 19%
Healthnet Mcr Adv $10 19%
Kaiser Mcr Adv Ip/Op Only $10 19%
Universal Health Plan Mcare-All Other Plans $10 19%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $12 23%
Network Provdrs Llc Mcare -All Payers $13 24%
Oscar - All Plans $16 30%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $17 32%
Employee Health Plan - All Plans $18 34%
Centivo - All Plans $22 41%
Cigna $29 54%
Aetna $86 162%
Blue Cross Blue Shield $93 - $103 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals