CMS Price Transparency Data

Blood antibody screen

Facility: Adventist Health Tehachapi Valley

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $27
Cash Discount Price: $24
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Adventist Health Tehachapi Valley is $27. 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 0.51x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $27 (51%)

Cash: $24 (45% of Medicare)

Ins. Median: $27 (51% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Healthnet Mcare	$2 - $27	4%
Medicare (plans)	$2 - $27	4%
Network Providers- All Plans	$2 - $35	4%
Tricare	$2 - $27	4%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$2 - $27	4%
Kaiser Ip/Op Only- All Other Plans	$3 - $46	6%
Bc Mcal	$4	8%
Blue Shield Epn- All Other Plans	$4 - $60	8%
Centivo - All Plans	$4 - $61	8%
Kaiser Medi-Cal Ip/Op Only	$4	8%
Medi-Cal	$4	8%
Universal Ipa Mcal Op/Profee Only	$4	8%
Western Grwrs/Pinnacle - All Plans	$4 - $60	8%
Ah Employee Health Plan - All Plans	$5 - $75	9%
Blue Cross Blue Shield	$5 - $82	9%
Blue Shield Non-Epn	$5 - $71	9%
Healthnet Medi-Cal	$5	9%
Khs-Kern Hlth Systm Mcal	$5	9%
Klhp-Kern Legacy Epo -All Other Plans	$5 - $71	9%
UnitedHealthcare	$5 - $70	9%
Cigna	$8 - $111	15%
Healthnet- All Other Plans	$8 - $109	15%
Coventry- All Plans	$9 - $128	17%
Oscar Health Plan- All Plans	$16	30%
Aetna	$83	156%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $24.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.