CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Lake City Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $13
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Lake City Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.24x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $95 (178%)
Insurance Median: $13 (24%)
Cash: $95 (178% of Medicare)
Ins. Median: $13 (24% 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
Hospice Of North Central Fl $9 17%
Aetna $10 - $28 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Florida Complete Care $10 19%
Humana $10 - $19 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
United $10 - $43 19%
Wellcare $10 19%
Wellmed $10 19%
Avmed $11 - $48 21%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Oscar $12 23%
Simply Healthcare $12 23%
Simply $15 28%
Evolutions $22 - $81 41%
Sunshine State Health Plan $24 45%
Molina Healthcare $30 56%
Plotkin Health $48 90%
Prime Health Sheriff $48 90%
Hamilton County Jail $51 96%
Multiplan $74 - $81 139%
Ppo Next $81 152%
Novanet $86 162%
Corvel Corporation $92 173%
Prime Health $94 177%
Careworks (Rockport Community) $97 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals