CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Citrus Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $71
  • Cash Discount Price: $477
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Citrus Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $477. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.33x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$477

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $477 (896%)
Insurance Median: $71 (133%)
Cash: $477 (896% of Medicare)
Ins. Median: $71 (133% 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 $10 - $195 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Florida Complete Care $10 19%
Hernando-Pasco Hospice $10 19%
Humana $10 - $182 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United $10 - $293 19%
United Behavioral Health $10 19%
United Va Ccn $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Access 2 Healthcare Physicians Freedom Optimum Group Members $12 - $31 23%
Simply Healthcare $12 23%
Oscar $13 24%
Access 2 Healthcare Physicians Freedom Health $15 - $39 28%
Access 2 Healthcare Physicians Optimum $15 - $39 28%
Freedom Health Care $17 - $42 32%
Optimum Healthcare $17 - $42 32%
Avmed $20 - $163 38%
Molina $48 - $176 90%
Evolutions Healthcare Systems $58 - $599 109%
Sunshine State Health Plan $65 - $166 122%
Corvel Corporation $93 175%
Rockport Healthcare Group $93 175%
Prime Health $94 177%
Beacon Health Options $127 - $325 239%
Plotkin Health $127 - $325 239%
Prime Health Sheriff $127 - $325 239%
Multiplan $191 - $553 359%
Evernorth $203 - $521 381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals