CMS Price Transparency Data
Blood antibody screen
Facility: Children's Hosp of Los Angeles
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $9
- Cash Discount Price: $9
- vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Children's Hosp of Los Angeles is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.17x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$9
Average discount available for prompt cash payment at this facility.
Insurance Median
$9
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: $9 (17%)
Insurance Median: $9 (17%)
Cash: $9 (17% of Medicare)
Ins. Median: $9 (17% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Molina | $1 - $9 | 2% |
| Medi-Cal | $1 - $9 | 2% |
| Inland Empire Health Plan | $1 - $9 | 2% |
| Shriners Hospital | $3 | 6% |
| Choc Health Alliance | $3 | 6% |
| Medicaid / KanCare | $3 - $9 | 6% |
| Point Comfort Underwriters | $3 | 6% |
| Health Net | $3 - $11 | 6% |
| La Care | $3 - $9 | 6% |
| Citrus Valley Phys Grp | $4 - $9 | 8% |
| Mercy Care | $4 | 8% |
| Axminster Medical Group | $4 - $9 | 8% |
| Staywell Insurance | $4 - $9 | 8% |
| Sansum Clinic | $4 | 8% |
| Facey Medical Group | $4 - $9 | 8% |
| Altamed | $4 - $9 | 8% |
| Accarent Health | $4 | 8% |
| Non-Contract Payors | $4 | 8% |
| Pioneer Prov Ntwk | $4 - $9 | 8% |
| Managed Care Systems | $4 - $9 | 8% |
| Gemcare IPA | $4 - $102 | 8% |
| St. John's Health Clinic | $4 - $9 | 8% |
| Beech Street | $4 | 8% |
| Emanate Health Medical Center Mmc | $4 | 8% |
| Heritage Provider Network | $4 - $9 | 8% |
| Centinela Valley IPA | $5 - $9 | 9% |
| Delta Health Systems | $5 - $9 | 9% |
| Blue Cross Blue Shield | $5 - $9 | 9% |
| Community Care | $5 | 9% |
| Applecare Medical Group | $5 - $9 | 9% |
| National Healthcare Solutions | $5 | 9% |
| Sanus Health | $5 - $9 | 9% |
| Kaiser | $5 - $9 | 9% |
| Alhambra Hospital Medical Center | $5 - $9 | 9% |
| Bright Medical Associates | $5 | 9% |
| UnitedHealthcare | $5 - $10 | 9% |
| Emanate Health Medical Center Commercial | $5 | 9% |
| Ventura County Health Plan | $5 - $9 | 9% |
| Seoul Medical Group | $5 - $9 | 9% |
| Access Medical Group | $5 - $9 | 9% |
| Blue Shield | $5 - $9 | 9% |
| Premier Physicians Ntwk | $5 - $9 | 9% |
| Aetna | $5 | 9% |
| Cal Care IPA | $5 - $9 | 9% |
| Self-Pay | $5 | 9% |
| Book Md | $5 | 9% |
| Allied Pacific IPA | $5 - $9 | 9% |
| Good Samaritan Medical Group | $5 - $111 | 9% |
| Intl - Quality Health Management | $5 - $9 | 9% |
| Family Care Specialists | $5 - $9 | 9% |
| Los Angeles Medical Center IPA | $5 - $9 | 9% |
| Choice Medical Group | $5 - $9 | 9% |
| Intl - Global Excel Management | $5 - $18 | 9% |
| Global Care Medical Group | $5 - $9 | 9% |
| Health Care La IPA | $5 - $9 | 9% |
| White Memorial Medical Center | $5 - $9 | 9% |
| Bella Vista Med Grp | $5 - $9 | 9% |
| Private Hlthcare System | $5 | 9% |
| Culinary Health Fund | $5 - $9 | 9% |
| Star Healthcare Network Commercial | $6 | 11% |
| Memorialcare Med Foundation | $6 - $9 | 11% |
| Cedar Sinai Med Grp | $6 | 11% |
| Lakewood Health Plan | $6 - $9 | 11% |
| Redlands Community Hospital | $6 - $9 | 11% |
| Beaver Medical Group | $6 - $9 | 11% |
| Seaside Health Plan | $6 - $9 | 11% |
| Sierra Health and Life Insurance Company | $6 - $9 | 11% |
| Angeles IPA | $6 - $9 | 11% |
| Prime Health Services | $6 | 11% |
| Marian Health Services | $6 - $9 | 11% |
| Axis Services International | $6 | 11% |
| Calvo Selectcare | $6 - $9 | 11% |
| Intl - Concierge Healthcare Services | $6 | 11% |
| Intl - Msh China Enterprise Services | $6 | 11% |
| Korean American Med Grp | $6 | 11% |
| Primecare Medical Network | $6 - $9 | 11% |
| Intl - Aixin Life Insurance Co | $6 - $9 | 11% |
| Embassy - Saudi Arabia | $6 | 11% |
| Multiplan | $6 | 11% |
| Intl - Erv Travel Services | $6 - $9 | 11% |
| Plotkin Health | $6 - $9 | 11% |
| Serra Community Med Clinic - Commercial | $6 - $9 | 11% |
| Self-Pay International | $7 | 13% |
| Prospect Medical Group | $7 - $9 | 13% |
| Hispanic Physician IPA | $7 - $9 | 13% |
| Associated Hispanic Physicians IPA | $7 - $9 | 13% |
| Interlink Health Services | $7 - $9 | 13% |
| Embassy - All Others | $7 | 13% |
| Embassy - Kuwait | $7 | 13% |
| Care 1St | $9 | 17% |
| Karing Physicians Medical Group | $9 | 17% |
| Imperial Health Holdings Medical Group | $9 | 17% |
| Noble Community Medical Associates | $9 | 17% |
| Regent Medical Group | $9 | 17% |
| Hollywood Presbyterian Medical Center | $9 | 17% |
| Medicare (plans) | $9 - $66 | 17% |
| Providence Health Network | $9 | 17% |
| Southland San Gabriel Valley Medical Group | $9 | 17% |
| Kern Family Health Plan | $9 | 17% |
| Caloptima | $9 | 17% |
| Dignity Health | $9 | 17% |
| Serra Community Med Clinic | $9 | 17% |
| Community Care IPA Mmc | $9 | 17% |
| Beverly Hospital | $9 | 17% |
| St Francis Medical Center | $9 | 17% |
| San Judas Med Grp | $9 | 17% |
| Superior Choice Medical Group | $9 | 17% |
| Exceptional Care Medical Group | $9 | 17% |
| Intl - Global Medical Management | $9 | 17% |
| Pacific Alliance Medical Center | $9 | 17% |
| Incentive Health Network | $9 | 17% |
| Souther California Hosp System - Mmc | $9 | 17% |
| Southern Atlantic Medical Group Mmc | $9 | 17% |
| Healthy New Life Medical Corp | $9 | 17% |
| California Pacific Physicians Medical Group | $9 | 17% |
| Serendib Healthways Mmc | $9 | 17% |
| El Proyecto Del Barrio | $9 | 17% |
| Adventist Health Physicians | $9 | 17% |
| Family Health Alliance Med Grp | $9 | 17% |
| Crown City Medical Group | $9 | 17% |
| Watts Healthcare Mmc | $9 | 17% |
| Avalon IPA | $9 | 17% |
| Gold Coast Health Plan | $9 | 17% |
| Preferred IPA | $9 | 17% |
| Cencal Health | $9 | 17% |
| Accountable Health | $9 | 17% |
| Preferred IPA - Commercial | $9 | 17% |
| Mabuhay Medical Group | $9 | 17% |
| Asian Community Medical Group | $9 | 17% |
| Employee Health Systems Med Grp | $9 | 17% |
| Community Family Care IPA | $9 | 17% |
| Valley Presbyterian Hospital | $9 | 17% |
| Primary Care and Pediatric IPA | $9 | 17% |
| Cigna | $18 | 34% |
| Champus | $65 | 122% |