CMS Price Transparency Data

Blood antibody screen

Facility: Seneca District Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $7
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Seneca District Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.13x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $26 (49%)
Insurance Median: $7 (13%)
Cash: $26 (49% of Medicare)
Ins. Median: $7 (13% 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
UnitedHealthcare $2 - $142 4%
Tricare $3 - $102 6%
Alliance- All Plans $4 - $141 8%
Ambetter / Centene $4 - $5 8%
Amthem Bc Mcal $4 8%
Beech Street Corp- All Plans $4 - $138 8%
Blue Cross Blue Shield $4 - $130 8%
Blue Shield Ipf/Ca Exchange $4 - $129 8%
Blue Shield Of Ca- All Other Plans $4 - $144 8%
Cigna $4 - $138 8%
Community Care Network - All Plans $4 - $141 8%
Coventry- All Plans $4 - $142 8%
Healthnet - All Other Plans $4 - $144 8%
Imperial Hp Ma-All Plans $4 - $115 8%
Integrated Hp-All Plans $4 - $138 8%
Interplan Corp- All Plans $4 - $138 8%
Medi-Cal $4 8%
Medincrease- All Plans $4 - $138 8%
Multiplan- All Plans $4 - $138 8%
Northern Nevada Health Network- All Plans $4 - $142 8%
Pacificare - All Plans $4 - $138 8%
Partnership Hp-All Plans $4 8%
Provider Ntwrk Of America-All Plans $4 - $138 8%
Superior California Ppo - All Plans $4 - $142 8%
Three Rivers- All Plans $4 - $144 8%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Brentwood Drive, Chester, CA 96020
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals