CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Mercy Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $15
  • Cash Discount Price: $139
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Mercy Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.28x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.
Cash / Self-Pay
$139

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $139 (261%)
Insurance Median: $15 (28%)
Cash: $139 (261% of Medicare)
Ins. Median: $15 (28% 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 - $42 19%
Align $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus Sfl $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $47 19%
Kindred Hospice $10 19%
Leon Health $10 19%
Ndms Definitive Care $10 19%
Oscar $10 - $14 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
United $10 - $63 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellmed $10 19%
Avmed $11 - $70 21%
Centurion $11 21%
Doctors Healthcare Plan $11 21%
Gold Kidney $11 21%
Amerihealth Caritas $12 - $15 23%
Freedom Health $12 - $22 23%
Longevity Health Plan $12 23%
Optimum $12 23%
Solis Health Plan $14 26%
Simply Healthcare Plans $18 34%
Molina $26 - $38 49%
Health Sun Health Plan $30 56%
Aids Healthcare $31 - $167 58%
Mmm Of Fl (Health Advantage Plan) $32 60%
United Ppo $33 62%
Sunshine State Health Plan $36 68%
Plotkin Health $70 131%
Prime Health Sherriff $70 131%
Medica Healthcare $82 154%
Multiplan $104 - $118 195%
Corvel Corporation $107 201%
Careworks (Rockport) $109 205%
Prime Health $109 205%
Evernorth Bh $111 208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Nw 42Nd Ave, Plantation, FL 33317
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals