CMS Price Transparency Data

Blood antibody screen

Facility: Cape Canaveral Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $61
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Cape Canaveral Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.15x the Medicare baseline. Located in 701 W Cocoa Beach Causeway, Cocoa Beach, FL.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $30 (56%)
Insurance Median: $61 (115%)
Cash: $30 (56% of Medicare)
Ins. Median: $61 (115% 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 $2 - $133 4%
Amerigroup $2 - $127 4%
Humana $2 - $121 4%
Molina Healthcare $2 - $135 4%
Sunshine Health Plan $2 - $127 4%
UnitedHealthcare $2 - $121 4%
Health First Health Plan $9 - $51 17%
Florida Healthcare Plans $38 71%
Cigna $46 - $50 86%
Corizon Health $54 101%
Disney Cruise Line $72 135%
Prime Heath Services, Inc. $91 171%
Multiplan $97 182%
Florida Blue $382 - $402 718%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 W Cocoa Beach Causeway, Cocoa Beach, FL 32931
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals