CMS Price Transparency Data

Blood antibody screen

Facility: North Okaloosa Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $55
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at North Okaloosa Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.03x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $125 (235%)
Insurance Median: $55 (103%)
Cash: $125 (235% of Medicare)
Ins. Median: $55 (103% 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 $2 4%
Humana $2 - $56 4%
Integral Health $2 4%
Magellan Health $2 4%
Medicaid / KanCare $2 4%
Simply Healthcare $2 - $56 4%
UnitedHealthcare $2 - $110 4%
Wellcare $2 - $55 4%
Prestige Health $3 6%
Amcomp Workers Comp $6 11%
Evolutions $6 - $490 11%
Prime Health Work Comp Fl $6 11%
Usa Managed Care Work Comp Fl $6 11%
Veterans Eval Services $10 19%
Tricare $52 98%
Aetna $53 - $417 100%
Blue Cross Blue Shield $54 - $461 101%
Cigna $54 - $434 101%
Medicare (plans) $54 101%
Node Champva $54 101%
Node Non Par Hospice Agree $54 101%
Node Va $54 101%
Florida Department Of Corrections $59 111%
Node Us Dept Of Labor $68 128%
Self Pay $100 - $150 188%
State Auto Insurance Fl $109 205%
Occunet $136 255%
Oscar $158 297%
Corizon Health Inc $188 353%
Phcs $501 941%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals