CMS Price Transparency Data

Blood antibody screen

Facility: Halifax Health Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $87
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Halifax Health Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.63x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $162 (304%)
Insurance Median: $87 (163%)
Cash: $162 (304% of Medicare)
Ins. Median: $87 (163% 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
Aetna $2 - $121 4%
Coventry $2 - $128 4%
Hcra $2 4%
Humana $2 - $107 4%
Independent Living Systems $2 - $56 4%
Medicaid / KanCare $2 4%
Molina $2 - $55 4%
Simply Healthcare Plans $2 4%
Sunshine State Health Plan $2 - $107 4%
UnitedHealthcare $2 - $121 4%
West Volusia $2 4%
Caresource Network $3 6%
Embs $46 - $172 86%
Tricare $50 94%
Americas Choice Provider Network $54 - $182 101%
Blue Cross Blue Shield $54 - $89 101%
Cigna $54 101%
Division Of The Blind $54 101%
Freedom Health $54 101%
Medicare (plans) $54 101%
Optimum Healthcare $54 101%
Wellcare $54 101%
Devoted Health $56 105%
Longevity $56 105%
Prime Health Services $56 - $121 105%
Clear Spring Health Of Fl $58 109%
Florida Healthcare - Hecn $69 130%
Avmed $93 - $101 175%
County Of Volusia Corrections $101 190%
A&G Admin $103 193%
Volusia County Employee $103 193%
Employers Health Network $107 201%
Fhcp $108 203%
Centivo $115 216%
Florida Healthcare $116 218%
Claimdoc $121 227%
Oscar $121 227%
Volusia $121 - $141 227%
Sim Plan Pay $131 246%
Hrgi $141 265%
Plotkin Consulting $141 265%
Evolutions International $152 285%
Summit America $162 304%
Integrated Health Plan $182 342%
Multiplan $182 342%
Three Rivers $192 361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals