CMS Price Transparency Data

Blood antibody screen

Facility: Hialeah Hospital

Billing Code: 86850 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$29
about 0.5× the $53 Medicare rate · typically $10–$60
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
Well above the fair price
about $23 over the fair price · 1.0× Medicare
Medicare pays $53 Fair price $29 This hospital $52 Cash price $349 Hospital's list price $349

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $2 Priciest $52

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood antibody screen is about $29 (about 0.5× the $53 Medicare rate). Hialeah Hospital charges insurers about $52, or about $349 in cash — well above the fair price. Located in Hialeah, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $29. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2 - $52 4%
Aetnamajor $6 - $251 11%
Cignamajor $54 - $103 101%
Humanamajor $2 - $160 4%
Ambetter (Centene) $97 182%
AmeriHealth $113 212%
AvMed $8 - $108 15%
Bright Health $63 118%
Devoted Health $52 98%
Molina $100 188%
Oscar Health $12 23%
+ 26 smaller / regional plans $6 - $349
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals