CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $15
  • Cash Discount Price: $351
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Memorial Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.28x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$351

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: $351 (659%)
Insurance Median: $15 (28%)
Cash: $351 (659% 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
Optimum Healthcare $4 - $55 8%
Avmed $6 - $182 11%
United $7 - $292 13%
Hospice Community $8 15%
Simply Healthcare $8 - $100 15%
Hospice Haven $9 17%
Aetna $10 - $195 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $188 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Gold Kidney $11 21%
Positive Healthcare $11 - $143 21%
Longevity $12 23%
Sunshine State Health Plan $13 - $166 24%
Centurion $14 - $180 26%
Molina Healthcare $14 - $175 26%
Oscar $14 26%
Corizon $16 - $195 30%
Plotkin Health $26 - $324 49%
Multiplan $41 - $552 77%
Evernorth $42 - $519 79%
Evolutions Healthcare $42 - $552 79%
Ppo Next $44 - $552 83%
Novanet $47 - $584 88%
City Of Jacksonville $98 184%
Corvel Corporation $98 184%
Prime Health $100 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals