CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Twin Cities Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $62
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Twin Cities Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.16x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $361 (678%)
Insurance Median: $62 (116%)
Cash: $361 (678% of Medicare)
Ins. Median: $62 (116% 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 - $108 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Florida Complete Care $10 19%
Healthspring Of Florida $10 19%
Humana $10 - $137 19%
Ndms Definitive Care $10 19%
Regency Hospice $10 19%
Sunshine State $10 19%
United $10 - $162 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Oscar $13 24%
Simply Healthcare $15 28%
Simply $56 105%
Molina Healthcare $69 - $116 130%
Avmed $87 - $180 163%
Sunshine State Health Plan $92 173%
Corvel Corporation $99 186%
Prime Health $101 190%
Careworks (Rockport Community) $104 195%
Plotkin Health $180 338%
Prime Health Sheriff $180 338%
Evolutions Healthcare $235 - $307 441%
Multiplan $282 - $307 530%
Ppo Next $307 577%
Novanet $325 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals