CMS Price Transparency Data
Blood antibody screen
Facility: Coastal Communities Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $67
- Cash Discount Price: $210
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Coastal Communities Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.26x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$210
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: $210 (394%)
Insurance Median: $67 (126%)
Cash: $210 (394% 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 |
|---|---|---|
| Kpc Healthcare Inc | $3 - $84 | 6% |
| Monarch | $9 - $67 | 17% |
| Altamed Mcal Hmo (Ancillary) | $10 | 19% |
| Healthcare Partners | $10 | 19% |
| Hollywood Presbyterian | $10 - $67 | 19% |
| Kaiser | $10 - $129 | 19% |
| Medi-Cal Hmo/Non Contract | $10 | 19% |
| Medicaid / KanCare | $10 | 19% |
| UnitedHealthcare | $10 - $67 | 19% |
| Monarch Health Plan | $11 | 21% |
| Altamed Health Services | $14 - $67 | 26% |
| Caloptima | $14 - $67 | 26% |
| Choc Health Alliance | $14 | 26% |
| County Of Orange | $14 | 26% |
| Family Choice | $14 | 26% |
| Heritage Provider Network | $14 - $126 | 26% |
| Prospect Health Plan | $14 - $101 | 26% |
| Cigna | $19 - $136 | 36% |
| Aetna | $46 | 86% |
| Ihhi Reciprocity | $63 | 118% |
| Champus | $64 | 120% |
| Blue Shield | $67 - $254 | 126% |
| Central Health Plan Of California | $67 | 126% |
| Champion Health Plan | $67 | 126% |
| Choice Physicians Network | $67 | 126% |
| Citizens Choice Health Plan | $67 | 126% |
| Clever Care Health Plan | $67 | 126% |
| Easy Choice Health Plan | $67 | 126% |
| For Your Benefit | $67 | 126% |
| Health Net | $67 - $153 | 126% |
| Healthcare Partners Sr Hmo | $67 | 126% |
| Heritage | $67 | 126% |
| Humana | $67 | 126% |
| Imperial Health Plan Of Ca | $67 | 126% |
| Innovative Integrated Health | $67 | 126% |
| Medcare Partners | $67 | 126% |
| Onecare | $67 | 126% |
| Onecare Connect | $67 | 126% |
| Other Senior Non Contract | $67 | 126% |
| Scan Health Plan | $67 | 126% |
| Self Pay Ab774/Cbo Use Only | $67 | 126% |
| Us Dept Of Labor | $67 | 126% |
| Us Federal Marshall/Department Of Immigration | $67 | 126% |
| Velocity Provider Network Sr | $67 | 126% |
| Verda Health Plan Sr | $67 | 126% |
| Veterans Administration | $67 | 126% |
| Victim Of Violent Crime | $67 | 126% |
| Victoria Hospice | $67 | 126% |
| Brand New Day | $75 | 141% |
| Prime Health Srvs | $77 - $168 | 145% |
| Coventry Auto Network | $80 | 150% |
| Prime Health Srvs/Wc | $80 | 150% |
| Interplan | $81 - $158 | 152% |
| County Of Orange/Custody/Advanced Medmgt | $83 | 156% |
| Coventry Wc | $83 | 156% |
| Veterans Evaluation Services | $84 | 158% |
| Multiplan | $87 - $147 | 163% |
| Three Rivers | $87 | 163% |
| Velocity National Provider Network Wc | $89 | 167% |
| Workers Comp State Of California | $89 | 167% |
| Staywell/Island Home Ins | $94 | 177% |
| First Health | $110 | 207% |
| Three Rivers Network | $117 | 220% |
| Velocity National Provider Network Ppo | $117 | 220% |
| Magellan | $126 | 237% |
| Networks By Design | $147 | 276% |
| Networks By Design Wc | $147 | 276% |
| Healthsmart | $158 | 297% |
| Prime Health | $158 | 297% |
| Pnoa-Provider Network Of America | $168 | 316% |
| Prime Health Srvs/Network | $178 | 334% |
| Lucet Behavioral Health Sr | $210 | 394% |
| Managed Health Network | $210 | 394% |
| Other Insurance Loa | $210 | 394% |
| Other Non Contracted Plans | $210 | 394% |
| Private Pay | $210 | 394% |
| Us Behavioral Health Plan | $210 | 394% |
| Vitas Hospice | $210 | 394% |