CMS Price Transparency Data

Blood antibody screen

Facility: Baptist Medical Center - Nassau

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $31
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Baptist Medical Center - Nassau is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.58x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $37 (69%)
Insurance Median: $31 (58%)
Cash: $37 (69% of Medicare)
Ins. Median: $31 (58% 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%
Daniel Memorial $2 4%
Florida Community Care $2 - $56 4%
Humana $2 4%
Nassaua County Sheriff'S Office $2 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%
Blue Cross Blue Shield $14 - $47 26%
Avmed $15 - $54 28%
Borland Groover $19 - $29 36%
Occunet $19 - $29 36%
Northeast Florida State Hospital $20 - $30 38%
Centivo $21 - $61 39%
Capital Health Plan $22 - $33 41%
UnitedHealthcare $22 - $54 41%
Geo Group $24 - $36 45%
Watchtower $26 - $40 49%
Fscj Student Insurance $28 - $43 53%
Savannah Grand Of Amelia Island $28 - $43 53%
Cigna $29 - $55 54%
Suddath Company $30 - $45 56%
Medicaid / KanCare $31 - $47 58%
Peach State Health Plan $31 - $47 58%
Phcs $35 - $54 66%
Evolutions Healthcare $42 - $65 79%
Multiplan $42 - $65 79%
Corvel $46 - $71 86%
Coventry Workers Comp $46 - $71 86%
Community Hospice Of Northeast Florida $54 101%
Pace $54 101%
Tomorrow'S Rainbow $54 101%
Va Ccn $54 101%
Devoted $57 107%
Upmc $59 111%
Ambetter / Centene $129 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals