CMS Price Transparency Data
Blood antibody screen
Facility: Monterey Park Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $42
- Cash Discount Price: $65
- vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Monterey Park Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.79x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$65
Average discount available for prompt cash payment at this facility.
Insurance Median
$42
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: $65 (122%)
Insurance Median: $42 (79%)
Cash: $65 (122% of Medicare)
Ins. Median: $42 (79% 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 |
|---|---|---|
| La Care Health Plan | $2 - $292 | 4% |
| Access Ipa Ancillary | $3 - $60 | 6% |
| Accountable Ipa | $3 | 6% |
| Ahmc Healthcare Inc | $3 - $159 | 6% |
| Allied Physicians | $3 - $101 | 6% |
| Alta Med Health Services Corp | $3 - $133 | 6% |
| Altamed Health Network | $3 - $66 | 6% |
| Altamed Health Services | $3 | 6% |
| Altamed Health Services Corporation | $3 - $53 | 6% |
| Applecare Medical Group | $3 - $54 | 6% |
| Assess Ipa | $3 | 6% |
| Associated Hispanic Physicians Ancillary | $3 - $60 | 6% |
| Bella Vista Medical Group Ancillary | $3 | 6% |
| Beverly Hospital | $3 - $74 | 6% |
| Blue Cross Blue Shield | $3 - $266 | 6% |
| Brand New Day | $3 - $84 | 6% |
| Care 1St M Cal | $3 - $53 | 6% |
| Care 1St Mcl/Gar Cap | $3 | 6% |
| Central Health Plan | $3 | 6% |
| Community Health Plan | $3 | 6% |
| Crown City Medical Group Inc | $3 - $53 | 6% |
| Esperanza Medical Group Ipa | $3 - $159 | 6% |
| Family Health Alliance Medical Group | $3 - $159 | 6% |
| Garfield Medical Center | $3 - $53 | 6% |
| Health Net Medi Cal | $3 | 6% |
| Healthnet Inc | $3 | 6% |
| Healthy Way La | $3 | 6% |
| La Care | $3 - $67 | 6% |
| Medical Managed Care Program | $3 | 6% |
| Molina Healthcare | $3 | 6% |
| Other Non-Contracted Medi-Cal | $3 | 6% |
| Physician Healthways | $3 - $133 | 6% |
| Preferred Ipa | $3 - $84 | 6% |
| Preferred Ipa Of California | $3 | 6% |
| Universal Care M Cal/Advantage Health Network | $3 - $53 | 6% |
| Employee Health Systems Medical Group | $6 - $106 | 11% |
| Global Care Medical Group Ipa | $6 - $239 | 11% |
| Healthnet/Ehs Capitation | $6 - $106 | 11% |
| Hispanic Physicians Ipa Medical Corporation | $7 - $133 | 13% |
| Ahmc Reciprocity Agreement Senior/Commercial | $9 - $159 | 17% |
| Alhambra Community Dialysis Unit Inc | $9 - $319 | 17% |
| Allied Physicians Ipa | $9 - $159 | 17% |
| Bella Vista Medical Group | $9 - $159 | 17% |
| Community Health Plan M Cal Joy Ipa | $9 - $159 | 17% |
| Pacific Independent Physician Association | $9 - $159 | 17% |
| Tenet Reciprocity | $9 - $159 | 17% |
| Aids Health Foundation | $10 - $66 | 19% |
| Avanti | $10 - $80 | 19% |
| Blue Shield Of California | $10 - $266 | 19% |
| Emanate Health | $10 - $84 | 19% |
| Healthcare Partners Affiliates Medical Group | $10 - $190 | 19% |
| Hollywood Presbyterian Adv Med Mcal | $10 | 19% |
| Hollywood Presbyterian Medpoint Mcal | $10 | 19% |
| Maxi Med Inc/Ipa | $10 - $67 | 19% |
| Medi Cal | $10 | 19% |
| Cigna | $11 | 21% |
| Molina Medical Centers | $11 - $207 | 21% |
| Central Health Plan Of California | $12 - $212 | 23% |
| Caloptima Direct | $14 | 26% |
| Care 1St Health Plan | $17 - $319 | 32% |
| Greater Los Angeles Dialysis Inc | $17 - $319 | 32% |
| Health Net Of California | $17 - $318 | 32% |
| One Health Plan | $17 - $775 | 32% |
| Choice Care Network | $19 - $345 | 36% |
| Health Net | $19 - $345 | 36% |
| Healthnet | $19 - $345 | 36% |
| Pacificare | $20 - $39 | 38% |
| UnitedHealthcare | $20 - $372 | 38% |
| Universal Care | $20 - $372 | 38% |
| Aetna | $21 - $387 | 39% |
| Health Net Inc | $21 - $376 | 39% |
| Interplan | $22 - $398 | 41% |
| Corvel Corporation | $23 - $925 | 43% |
| Preferred Health Network | $23 - $425 | 43% |
| Bce Emergis Corp | $25 - $451 | 47% |
| Multiplan | $25 - $451 | 47% |
| Asi Flex Ppo W/C | $29 - $90 | 54% |
| Athens Administrators | $29 - $90 | 54% |
| Commercial Non Contract | $29 - $531 | 54% |
| Indemnity W Comp Fee Schedule | $29 - $90 | 54% |
| Mri/Ct Greater El Monte Hospital | $29 - $531 | 54% |
| Mri/Mra/Alhambra Hospital | $29 - $531 | 54% |
| Mri/Mra/Eladh | $29 - $531 | 54% |
| One Legacy | $29 - $531 | 54% |
| Veterans Administration | $47 | 88% |
| Senior Citizens Choice | $59 | 111% |
| Alignment Health Plan | $65 | 122% |
| Apa/Aco Inc | $66 | 124% |
| Cms | $66 | 124% |
| Easy Choice Health Plan | $66 | 124% |
| First Health Senior | $66 | 124% |
| Foundation Health Plan | $66 | 124% |
| Humana | $66 | 124% |
| Medicare (plans) | $66 - $69 | 124% |
| Scan Health Plan | $66 | 124% |
| Secure Horizons | $66 | 124% |
| Ucla/Impact Cancer | $66 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $67 | 126% |
| La Care Covered Direct | $67 | 126% |
| Self-Pay | $67 | 126% |
| Molina Healthcare Medi-Connect | $69 | 130% |
| San Miguel Health Plan | $74 | 139% |
| Ahmc Health Epo | $84 | 158% |
| Knox-Keene Act | $84 | 158% |
| Molina Healthcare Of California | $84 | 158% |