CMS Price Transparency Data

Blood antibody screen

Facility: Winter Haven Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $56
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Winter Haven Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.05x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $67 (126%)
Insurance Median: $56 (105%)
Cash: $67 (126% of Medicare)
Ins. Median: $56 (105% 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 - $102 4%
Clear Health Alliance $2 4%
Florida Community Care $2 4%
Freedom Health $2 4%
Humana $2 - $67 4%
Molina Healthcare $2 4%
Simply Healthcare $2 - $22 4%
Sunshine Health $2 4%
UnitedHealthcare $2 - $112 4%
Molina $6 - $74 11%
Ultimate Health Plan $10 - $38 19%
Avmed $11 - $61 21%
Blue Cross Blue Shield $11 - $72 21%
Florida Hospital $16 - $58 30%
Evolutions $17 - $116 32%
Cigna $18 - $109 34%
Multiplan $27 - $100 51%
First Health $29 - $106 54%
Ambetter / Centene $34 - $137 64%
United Behavioral Health $34 - $125 64%
Baycareplus $54 101%
Careplus $56 105%
Solis Health $59 111%
Freedom $60 113%
Optimum $60 113%
Health First $62 116%
Wellcare $75 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Ave F Ne, Winter Haven, FL 33881
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals