Blood antibody screen
Facility: Shriners Hospitals for Children Northern Calif
Billing Code: 86850 (CPT)
- CPT Billing Code: 86850
- Insurance Median: $10
- Cash Discount Price: $97
- vs. Medicare Baseline: 0.19x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Amerigroup Nv | $2 | 4% |
| Ambetter / Centene | $3 - $78 | 6% |
| Health Plan Of Nv | $3 | 6% |
| Aetna | $4 - $68 | 8% |
| Blue Cross Blue Shield | $4 - $16 | 8% |
| Central California Alliance For Health | $4 | 8% |
| Health Plan Of San Joaquin | $4 | 8% |
| Kaiser Permanente | $4 - $100 | 8% |
| Molina Healthcare Of Ca | $4 | 8% |
| Partnership Healthplan Of Ca | $4 | 8% |
| Gateway Health Plan | $8 | 15% |
| Medicaid / KanCare | $8 | 15% |
| Cigna | $9 | 17% |
| Soonercare | $9 | 17% |
| Coventry Cares Ky | $10 | 19% |
| Humana | $10 | 19% |
| Molina Healthcare Of Ky | $10 | 19% |
| Providence Health Plan | $10 | 19% |
| UnitedHealthcare | $10 - $15 | 19% |
| Caresource Of Ga | $15 | 28% |
| Wellcare Of Ga | $15 | 28% |
| Amerihealth Caritas Nc | $21 - $59 | 39% |
| Molina Healthcare Of Ms | $51 | 96% |
| Amerihealth Caritas Sc | $59 | 111% |
| Caresource Of Oh | $59 | 111% |
| Healthchoice Of Oklahoma | $67 | 126% |
| Northbay Healthcare | $68 | 128% |
| Sana Benefits | $72 - $95 | 135% |
| Sutter Medical Foundation | $74 | 139% |
| Health Net Of Ca | $78 | 147% |
| Dignity Health | $536 | 1007% |