CMS Price Transparency Data
Blood antibody screen
Facility: Whittier Hospital Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $67
- Cash Discount Price: $24
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Whittier Hospital Medical Center is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.26x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$24
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: $24 (45%)
Insurance Median: $67 (126%)
Cash: $24 (45% 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
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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 | $2 - $386 | 4% |
| Capnet | $2 - $31 | 4% |
| Ahmc Medi-Cal Reciprocity Agreement | $3 | 6% |
| Aids Healthcare Foundation | $3 - $66 | 6% |
| Allied Physicians | $3 - $101 | 6% |
| Alta Med Health Network | $3 - $66 | 6% |
| Altamed Health Services Corporation | $3 | 6% |
| Beverly Hospital | $3 - $74 | 6% |
| Brand New Day | $3 - $82 | 6% |
| Emanate Health | $3 - $82 | 6% |
| Health Net | $3 - $462 | 6% |
| Healthy Way La | $3 | 6% |
| Heritage Provider Network | $3 - $90 | 6% |
| Kaiser Foundation | $3 - $540 | 6% |
| La Care Health Plan | $3 - $425 | 6% |
| La Care Healthy Families/Healthy Kids | $3 | 6% |
| Non Contracted Medi-Cal | $3 | 6% |
| Prospect Health Plan | $3 - $107 | 6% |
| Synermed | $3 - $67 | 6% |
| Caloptima | $4 - $66 | 8% |
| Monarch Healthplan | $4 | 8% |
| Physician Healthways | $5 - $77 | 9% |
| Avanti | $10 - $80 | 19% |
| Care First Health Plan | $10 | 19% |
| County Of Los Angeles Dept Of Health Services | $10 | 19% |
| Hollywood Presbyterian Adv Med Mcal | $10 | 19% |
| Hollywood Presbyterian Medpoint Mcal | $10 | 19% |
| Medi Caid/ Medi Cal | $10 | 19% |
| Pacific Independent Physician Association | $10 - $232 | 19% |
| Cigna | $11 | 21% |
| Applecare Medical Group | $12 | 23% |
| Physicians Healthways Medical Corporation | $13 - $193 | 24% |
| Ahmc Reciprocity | $15 - $232 | 28% |
| Ahmc Reciprocity Agreement Senior/Commercial | $15 - $232 | 28% |
| Wear And Wood | $15 - $309 | 28% |
| Edward Medical Group | $18 - $270 | 34% |
| UnitedHealthcare | $18 - $672 | 34% |
| Central Health Plan Of California | $20 - $309 | 38% |
| Molina Medical Center | $20 - $301 | 38% |
| Allied Physicians Ipa | $23 - $347 | 43% |
| Aetna | $24 - $562 | 45% |
| Blue Shield Of California | $26 - $386 | 49% |
| Prospect Medical | $28 - $425 | 53% |
| Care 1St Health Plan | $31 - $463 | 58% |
| New Horizon Medical Group Inc | $31 - $463 | 58% |
| Cost Containment | $33 - $502 | 62% |
| Davita Healthcare Partners | $33 - $502 | 62% |
| Health Net Inc | $33 - $502 | 62% |
| Universal Care | $33 - $540 | 62% |
| Healthnet | $35 - $536 | 66% |
| Asi/Flex | $36 - $540 | 68% |
| Us Comp Care | $36 - $540 | 68% |
| Value Healthplan Of California | $36 - $540 | 68% |
| Community Care Network | $38 - $579 | 71% |
| Coventry Health Care | $38 - $579 | 71% |
| Coventry Health Care National Network | $38 - $579 | 71% |
| Fmc Los Angeles County | $38 - $579 | 71% |
| Interplan Corporation | $38 - $579 | 71% |
| Managed Care Administrators | $38 - $579 | 71% |
| Prohealth | $38 - $579 | 71% |
| Multiplan | $43 - $656 | 81% |
| Veterans Administration | $47 | 88% |
| Athens Administrators Ahmc Work Comp | $51 - $89 | 96% |
| Commercial Non Contract | $51 - $772 | 96% |
| Interplan Health Group | $51 - $86 | 96% |
| Medi-Cal Sub Acute | $51 - $772 | 96% |
| Misc 1 | $51 - $89 | 96% |
| Multiplan Wc | $51 - $89 | 96% |
| One Legacy | $51 - $772 | 96% |
| Alta Los Angeles Hospitals Inc | $66 | 124% |
| Apa/Aco Inc | $66 | 124% |
| Central Health Plan | $66 | 124% |
| Easy Choice Health Plan | $66 | 124% |
| Humana | $66 | 124% |
| Medicare (plans) | $66 - $69 | 124% |
| Pacificare Of California | $66 | 124% |
| Scan Health Plan | $66 | 124% |
| Caremore | $67 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $67 | 126% |
| La Care Covered Direct | $67 | 126% |
| Pacific Alliance Medical Center | $67 | 126% |
| Private Pay | $67 | 126% |
| Self-Pay | $67 | 126% |
| Tricare | $67 | 126% |
| Alignment Health Plan | $69 | 130% |
| Molina Healthcare Of California | $69 | 130% |
| San Miguel Health Plan | $74 | 139% |
| Chinatown Service Center Pace | $80 | 150% |
| Ahmc Health | $84 | 158% |
| Knox-Keene Act | $84 | 158% |
| Great-West Healthcare Of California | $2,500 | 4696% |