CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Jfk Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $25
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Jfk Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.47x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $193 (363%)
Insurance Median: $25 (47%)
Cash: $193 (363% of Medicare)
Ins. Median: $25 (47% 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
Palm Beach Pace $9 17%
Aetna $10 - $58 19%
Align $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus Sfl $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $66 19%
Ndms Definitive Care $10 19%
Oscar $10 - $14 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
United $10 - $87 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellmed $10 19%
Centurion $11 21%
Doctors Healthcare Plan $11 21%
Gold Kidney $11 21%
Amerihealth Caritas $12 - $15 23%
Longevity Health Plan $12 23%
Simply Healthcare $12 23%
Solis Health Plan $14 26%
Freedom Health $17 - $31 32%
Optimum $17 32%
Avmed $25 - $96 47%
Simply Healthcare Plans $25 47%
Molina $33 - $52 62%
Health Sun Health Plan $41 77%
Aids Healthcare $42 - $232 79%
Mmm Of Fl (Health Advantage Plan) $44 83%
United Ppo $46 86%
Sunshine State Health Plan $50 94%
Blis $68 128%
District Cares $96 180%
Plotkin Health $96 180%
Prime Health Sherriff $96 180%
Corvel Corporation $103 193%
Careworks (Rockport) $105 197%
Prime Health $105 197%
Medica Healthcare $114 214%
Multiplan $145 - $164 272%
Evernorth Bh $154 289%
Healthy Palm Beaches $550 1033%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals