CMS Price Transparency Data

Blood antibody screen

Facility: Providence Mission Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$70
about 1.3× the $53 Medicare rate · typically $11–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
about $1 under the fair price · 1.3× Medicare
Medicare pays $53 Fair price $70 This hospital $69 Cash price $51 Hospital's list price $107

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $3 Priciest $69

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Blood antibody screen is about $70 (about 1.3× the $53 Medicare rate). Providence Mission Hospital charges insurers about $69, or about $51 in cash — about the fair price. Located in Mission Viejo, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20 38%
Blue Cross Blue Shieldmajor $16 - $170 30%
Aetnamajor $67 - $121 126%
Health Net $124 233%
+ 1 smaller / regional plan $57

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Facility Profile & Credentials

  • Address: 27700 Medical Center Rd, Mission Viejo, CA 92691
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals