CMS Price Transparency Data
Blood antibody screen
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 86850 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$47
about 0.9× the $53 Medicare rate · typically $13–$80
modeled estimate · not a bill or quote
Medicare pays $53 Fair price $47 Cash price $109 Hospital's list price $167
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $50 - $160 | 94% |
| Blue Cross Blue Shieldmajor | $50 - $203 | 94% |
| Aetnamajor | $50 - $158 | 94% |
| Cignamajor | $50 - $157 | 94% |
| Humanamajor | $50 - $147 | 94% |
| Ambetter (Centene) | $50 | 94% |
| Dean Health Plan | $150 | 282% |
| GEHA | $158 - $160 | 297% |
| Health Net | $10 - $134 | 19% |
| HealthPartners | $50 - $130 | 94% |
| Meridian | $50 | 94% |
| Moda Health | $120 - $162 | 225% |
| Molina | $50 | 94% |
| PacificSource | $100 - $157 | 188% |
| Paramount | $50 - $150 | 94% |
| Presbyterian | $50 | 94% |
| Priority Health | $157 | 295% |
| SelectHealth | $14 - $150 | 26% |
| Tufts Health Plan | $50 | 94% |
| WellSense | $50 | 94% |
| + 93 smaller / regional plans | $50 - $211 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Alphonsus Medical Center Ontario
Compare: Blood antibody screen at other OR hospitals
- Curry General Hospital · Gold Beach $7
- Southern Coos Hospital & Health Center · Bandon $9
- Mid-Columbia Medical Center · The Dalles $10
- Santiam Hospital & Clinics · Stayton $10
- Samaritan North Lincoln Hospital · Lincoln City $11
- Samaritan Pacific Community Hospital · Newport $11
- Samaritan Lebanon Community Hospital · Lebanon $11
- McKenzie-Willamette Medical Center · Springfield $12
Insurance negotiated median for the same procedure, sorted lowest first.