CMS Price Transparency Data

Blood antibody screen

Facility: UF Health Shands Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $11
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at UF Health Shands Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $84 (158%)
Insurance Median: $11 (21%)
Cash: $84 (158% of Medicare)
Ins. Median: $11 (21% 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
Beacon Health Strategies $2 4%
Humana $2 - $10 4%
Sunshine State Health Plan $2 4%
UnitedHealthcare $2 - $57 4%
Aetna $3 - $126 6%
Amerihealth Caritas Florida $3 6%
Community Care Plan $3 6%
Florida Community Care $3 6%
Molina $3 6%
Simply Healthcare $3 6%
Avmed $10 19%
Blue Cross Blue Shield $10 - $83 19%
Capital Health Plan $10 - $76 19%
Carelon Health $10 19%
Careplus $10 19%
North Central Hospice $10 19%
Vha $10 19%
Devoted Health Plan $11 21%
Freedom Health- Inc./Optimum Healthcare- Inc. $11 21%
Levy County $12 23%
Wellcare $54 101%
Uaa $58 109%
Positive Healthcare Partners $59 111%
Ahf Mco Of Fl $60 113%
Ghilcrest County $67 126%
Northeast Fl Hospital $67 126%
Wellpath $86 162%
Ambetter / Centene $89 167%
Florida Health Care Plan $97 182%
Health First $107 201%
Prime Health Services $107 201%
Cigna $114 214%
Archbold Medical Center $115 216%
Genex $115 216%
Corvel Corp $130 244%
Geha $138 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals