CMS Price Transparency Data

Blood antibody screen

Facility: University of Miami Hospital and Clinics

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $93
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at University of Miami Hospital and Clinics is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.75x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $39 (73%)
Insurance Median: $93 (175%)
Cash: $39 (73% of Medicare)
Ins. Median: $93 (175% 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
UnitedHealthcare $10 - $42 19%
Aetna $11 - $434 21%
Humana $11 21%
Solis Health $11 21%
Careplus $30 - $198 56%
Sunshine Health $30 - $198 56%
Molina Healthcare Of Fl $32 - $214 60%
Amerihealth Caritas Fl $34 - $221 64%
Blue Cross Blue Shield $36 - $370 68%
Cigna $43 - $344 81%
Curative $64 - $419 120%
Avmed $68 - $514 128%
Employers Health Network $72 - $475 135%
Simply Healthcare $72 - $475 135%
First Health $78 - $514 147%
Health First New York Health Insurance $78 - $514 147%
Broward Health $84 - $554 158%
Beech Street $96 - $633 180%
Dimension Health $96 - $633 180%
Multiplan $96 - $633 180%
Oscar Health Of Fl $221 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 Nw 12Th Ave Suite 2175, Miami, FL 33136
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL