CMS Price Transparency Data

Blood antibody screen

Facility: Ascension St Vincent's Riverside

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $54
Cash Discount Price: $33
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Ascension St Vincent's Riverside is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 1 Shircliff Way, Jacksonville, FL.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $33 (62%)

Insurance Median: $54 (101%)

Cash: $33 (62% of Medicare)

Ins. Median: $54 (101% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $110	17%
UnitedHealthcare	$10 - $54	19%
Cigna	$18 - $55	34%
Humana	$24 - $54	45%
Bc Advantage Mcr Replacement	$54	101%
Blue Cross Blue Shield	$54	101%
Community Hospice	$54	101%
Coventry Mcr Replacement Hmo	$54	101%
Haven Hospice	$54	101%
Heartland Of Hc	$54	101%
Medicare (plans)	$54 - $55	101%
Pace Place	$54	101%
Research Study Encore Borland-Groover	$54	101%
Veterans Administration	$54	101%
Wellcare	$54	101%
Careplus Mcr Replacement	$55	103%
Bright Health	$72 - $78	135%
Smarthealth	$75	141%
Oscar Health Plan	$86	162%
Employer Direct Healthcare	$94	177%
90 Degree Benefits	$97	182%
Avmed Exchange	$97	182%
Molina Exchange	$99	186%
Occunet	$99 - $121	186%
Ambetter / Centene	$102	192%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ascension St Vincent's Riverside is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.