CMS Price Transparency Data

Blood antibody screen

Facility: Santa Rosa Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $54
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Santa Rosa Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $46 (86%)
Insurance Median: $54 (101%)
Cash: $46 (86% of Medicare)
Ins. Median: $54 (101% 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
Humana $2 - $54 4%
Medicaid / KanCare $2 - $3 4%
Molina $2 4%
Wellcare $2 4%
Fl Community Care $3 6%
Florida Workers Compensation $6 11%
Prime Health Work Comp Fl $6 11%
UnitedHealthcare $9 - $54 17%
Veterans Eval Services $10 19%
Aetna $22 - $103 41%
Cigna $41 - $54 77%
Self Pay $42 79%
Tricare $52 98%
Blue Cross Blue Shield $54 - $184 101%
Hospice Of Nw Fl $54 101%
Medicare (plans) $54 101%
Node Champva $54 101%
Node Va $54 101%
Node Wellcare Mcr Adv $56 105%
Geo Group $68 128%
Node Us Dept Of Labor $68 128%
Florida State Auto Insurance $109 205%
Ambetter / Centene $130 244%
Prime Health Services $147 276%
Oscar $164 308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals