CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $103
  • Cash Discount Price: $636
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Sarasota Doctors Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $636. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.93x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
$636

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $636 (1195%)
Insurance Median: $103 (193%)
Cash: $636 (1195% of Medicare)
Ins. Median: $103 (193% 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
Aetna $10 - $202 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 - $188 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United $10 - $302 19%
United Behavioral Health $10 19%
United Va Ccn $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Simply Healthcare $14 - $104 26%
Oscar $15 28%
Access 2 Healthcare Physicians Freedom Optimum Group Members $28 - $32 53%
Access 2 Healthcare Physicians Freedom Health $43 - $48 81%
Access 2 Healthcare Physicians Optimum $43 - $48 81%
Freedom Health Care $47 - $52 88%
Optimum Healthcare $47 - $52 88%
Avmed $48 - $168 90%
Corvel Corporation $99 186%
Rockport Healthcare Group $99 186%
Prime Health $102 192%
Molina $114 - $181 214%
Evolutions Healthcare Systems $138 - $618 259%
Sunshine State Health Plan $153 - $171 287%
Behealthy America $234 - $262 440%
Beacon Health Options $300 - $336 563%
Healthcare Sarasota $300 - $336 563%
Plotkin Health $300 - $336 563%
Prime Health Sheriff $300 - $336 563%
Multiplan $450 - $571 845%
Evernorth $480 - $538 902%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals