CMS Price Transparency Data

Blood antibody screen

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $18
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Larkin Community Hospital Palm Springs Campus is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.34x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $42 (79%)
Insurance Median: $18 (34%)
Cash: $42 (79% of Medicare)
Ins. Median: $18 (34% 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 - $10 4%
Florida Community Care Mcaid-All Plans $2 4%
Miami Childrens Hp Mcaid-All Plans $2 4%
Sunshine Mcaid $2 4%
Wellcare Mcaid $2 4%
Simply Healthcare Mcaid $3 6%
United Mcaid $3 6%
Ambetter / Centene $10 19%
Blue Cross Blue Shield $10 - $172 19%
Clear Springs Health - All Plans $10 19%
Fdc - All Plans $10 19%
Medicare (plans) $10 - $60 19%
Opus Hospice Ip Only - All Plans $10 19%
Unicare Simply Mcare Ppo - All Plans $10 19%
Bright Health Commercial - All Other Plans $12 23%
Ccs - All Plans $13 24%
Cigna $15 28%
Humana $18 - $60 34%
Wellcare Comm (Choice) - All Other Plans $30 56%
Leon Med Center Mcr Adv - All Plans $54 101%
Careplus Health - All Other Plans $60 113%
Centurion Doc - All Plans $60 113%
Doctors Healthcare - All Plans $60 113%
Florida Health Solution/Hmo - All Plans $60 113%
Preferred Care Partners Mcr - All Plans $60 113%
Simply Healthcare Mcr - All Other Plans $60 113%
UnitedHealthcare $60 113%
Naphcare - All Plans $69 130%
Oscar Health-All Plans $120 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals