CMS Price Transparency Data

Blood antibody screen

Facility: Casa Colina Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $12
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Casa Colina Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.23x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $13 (24%)
Insurance Median: $12 (23%)
Cash: $13 (24% of Medicare)
Ins. Median: $12 (23% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Kaiser Mcal $4 8%
Medi-Cal $4 8%
Heritage Prvdr Ntwrk Mcal $8 15%
Iehp Mcal $9 17%
Promed Hlth Ntwrk Op Only - All Plans $9 17%
Prospect Hp Mcal $9 17%
UnitedHealthcare $9 - $10 17%
Aetna $10 - $27 19%
Blue Cross Blue Shield $10 - $112 19%
Blue Shield Mcr Adv $10 19%
Caremore Mcr Adv - All Plans $10 19%
Central Hlth Plan - All Plans $10 19%
Doctors Managed Op Only - All Plans $10 19%
Empire Healthcare Op Only - All Plans $10 19%
Epic Comm - All Other Plans $10 19%
Epic Mcr Adv $10 19%
Focus Healthcare Wc - All Plans $10 19%
Healthnet Mcr Adv $10 19%
Humana $10 - $96 19%
Iehp - All Other Plans $10 19%
Iehp Mcr Adv $10 19%
Kaiser Comm - All Other Plans $10 19%
Kaiser Mcr Adv $10 19%
Premiercare Op Only - All Plans $10 19%
Prospect Hp Mcr Adv $10 19%
Triwest - All Plans $10 19%
Wellcare Mcr Adv - All Plans $10 19%
Prospect Hp Comm - All Other Plans $11 21%
Affiliated Hlth Funds - All Plans $12 23%
Healthnet Comm - All Other Plans $12 - $78 23%
Heritage Prvdr Ntwrk Comm - All Other Plans $12 - $76 23%
Heritage Prvdr Ntwrk Mcr $12 - $76 23%
Cigna $14 26%
Corvel - All Plans $15 - $96 28%
Coventry - All Plans $15 - $96 28%
Multiplan - All Plans $15 - $96 28%
Three Rivers - All Plans $15 - $96 28%
Brand New Day Mcr Adv - All Plans $18 - $115 34%
Galaxy Provdr Ntwrk - All Plans $21 - $134 39%
Blue Shield Comm - All Other Plans $22 - $141 41%
Healthcare Partners - All Other Plans $23 - $153 43%
Healthcare Partners Mcr $23 - $153 43%
Primecare Comm - All Other Plans $23 - $153 43%
Primecare Mcr Adv $23 - $153 43%
Prospect Med Grp Alta - All Plans $25 - $162 47%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals