CMS Price Transparency Data
Blood antibody screen
Facility: Menifee Global Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $93
- Cash Discount Price: $129
- vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Menifee Global Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.75x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$129
Average discount available for prompt cash payment at this facility.
Insurance Median
$93
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: $129 (242%)
Insurance Median: $93 (175%)
Cash: $129 (242% of Medicare)
Ins. Median: $93 (175% 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
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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 Cross Blue Shield | $3 | 6% |
| Ic | $3 - $198 | 6% |
| Kaiser Medi-Cal | $3 | 6% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $3 | 6% |
| Molina Medi-Cal | $3 | 6% |
| Iehp Medi-Cal | $4 | 8% |
| Health Net Medi-Cal | $10 | 19% |
| Hpn Mcal | $10 | 19% |
| Prospect Health Plan Mcal Hmo | $10 | 19% |
| Tricare | $10 - $62 | 19% |
| UnitedHealthcare | $12 - $67 | 23% |
| Altamed Mcal Hmo | $14 | 26% |
| Altamed Mcal/Pace | $14 | 26% |
| Choice Physicians Network | $14 | 26% |
| Health Net Enhanced Ppo | $14 - $93 | 26% |
| Cigna | $19 - $158 | 36% |
| Velocity | $53 - $117 | 100% |
| First Health Commercial | $62 - $104 | 116% |
| Aetna | $67 - $125 | 126% |
| Altamed Comm Hmo (Ancillary) | $67 - $198 | 126% |
| Altamed Health Services Senior | $67 | 126% |
| Altamed Sr/Pace | $67 | 126% |
| Blue Shield Senior | $67 | 126% |
| Central Health Plan Senior | $67 | 126% |
| Clever Care Health Plan Sr | $67 | 126% |
| For Your Benefit Senior | $67 | 126% |
| Guidant Health Plan Senior | $67 | 126% |
| Health Net Senior | $67 | 126% |
| Hpn Senior | $67 | 126% |
| Humana | $67 | 126% |
| Imperial Health Plan Of Ca | $67 | 126% |
| Kaiser Senior | $67 | 126% |
| Lasalle Medical Assoc (Ancillary) Commercial | $67 | 126% |
| Lasalle Medical Assoc (Ancillary) Senior | $67 | 126% |
| Managed Health Network Sr | $67 | 126% |
| Medicare (plans) | $67 | 126% |
| Neighborhood Healthcare Pace | $67 | 126% |
| Point Comfort Underwriters | $67 | 126% |
| Primecare Senior | $67 | 126% |
| Prospect Health Plan Sr Hmo | $67 | 126% |
| Scan Senior | $67 | 126% |
| Self Pay/Ab774/Charity Discount | $67 | 126% |
| Sr Capitation | $67 | 126% |
| Veterans Administration | $67 | 126% |
| Molina Covered Ca | $72 | 135% |
| Align Senior Care | $75 | 141% |
| Welbehealth Sr/Pace | $75 | 141% |
| Prime Health Services Senior | $77 | 145% |
| Primecare Commercial | $77 - $129 | 145% |
| Coventry | $80 - $83 | 150% |
| Prime Health Services Wcomp | $80 | 150% |
| Iehp Covered Ca | $83 | 156% |
| Multiplan Ppo | $83 - $139 | 156% |
| Multiplan Wcomp | $83 - $139 | 156% |
| Three Rivers Wcomp | $87 | 163% |
| Workers Comp Non-Contracted | $89 | 167% |
| Prospect Health Plan Comm Hmo | $90 | 169% |
| Hpn Commercial/Covered Ca | $93 | 175% |
| Pnoa-Provider Network Of America | $94 - $158 | 177% |
| Prime Health Services Commercial | $94 - $158 | 177% |
| Health Net Comm | $100 | 188% |
| Three Rivers Network | $117 | 220% |
| Ava Hospice | $118 - $198 | 222% |
| Kaiser Commercial | $118 - $198 | 222% |
| Living Waters Hospice | $118 - $198 | 222% |
| Managed Health Network | $118 - $198 | 222% |
| Other Insurance Loa | $118 - $198 | 222% |
| Pacific Valley Hospice | $118 - $198 | 222% |
| Private Pay | $118 - $198 | 222% |
| Silverado Hospice | $118 - $198 | 222% |
| Vna Hospice | $118 - $198 | 222% |
| Blue Shield Epn | $187 | 351% |
| Blue Shield Commercial | $221 | 415% |