CMS Price Transparency Data

Blood antibody screen

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $27
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Baptist Health Medical Center - Jacksonville is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.51x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $38 (71%)
Insurance Median: $27 (51%)
Cash: $38 (71% of Medicare)
Ins. Median: $27 (51% 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
Amerigroup Of Georgia $2 4%
Amerihealth Caritas $2 4%
Caresource Of Georgia $2 - $47 4%
Daniel Memorial $2 4%
Florida Community Care $2 - $56 4%
Humana $2 4%
Peach State Health Plan $2 - $47 4%
Simply Healthcare Plans $2 - $3 4%
Simply Healthcare Plans - Cha $2 4%
Sunshine State Health Plan $2 4%
United Community Plan $2 4%
Vivida Health $2 4%
Aetna $3 - $58 6%
Molina Healthcare Of Florida $3 6%
Corvel $6 - $71 11%
Coventry Workers Comp $6 - $71 11%
Non-Contracted $6 - $11 11%
Blue Cross Blue Shield $9 - $47 17%
UnitedHealthcare $11 - $54 21%
Avmed $15 - $37 28%
Cigna $18 - $44 34%
Borland Groover $19 - $29 36%
Occunet $19 - $36 36%
Northeast Florida State Hospital $20 - $34 38%
Centivo $21 - $61 39%
Capital Health Plan $22 - $33 41%
Innovative Healthware Services $22 - $34 41%
Geo Group $24 - $36 45%
Volusia Health Network $26 - $40 49%
Watchtower $26 - $40 49%
Fscj Student Insurance $28 - $43 53%
Suddath Company $30 - $45 56%
Medicaid / KanCare $31 - $47 58%
Uf Health Proton Therapy Institute $33 - $50 62%
Phcs $35 - $58 66%
Evolutions Healthcare $42 - $65 79%
Multiplan $42 - $65 79%
Community Hospice Of Northeast Florida $53 - $54 100%
Pace $53 - $54 100%
Tomorrow'S Rainbow $53 - $54 100%
Va Ccn $53 - $54 100%
Devoted $57 107%
Upmc $59 111%
Ambetter / Centene $128 - $129 240%
United Behavioral Health $322 605%
Nemours Research $983 1846%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals