CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida St Petersburg Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $72
  • Cash Discount Price: $902
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida St Petersburg Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $902. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.35x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.
Cash / Self-Pay
$902

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $902 (1694%)
Insurance Median: $72 (135%)
Cash: $902 (1694% of Medicare)
Ins. Median: $72 (135% 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 - $274 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Baycare Health Plans $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $256 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United $10 - $411 19%
United Va Ccn $10 19%
Wellcare $10 19%
Wellmed $10 19%
Careplus $11 21%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Longevity Health Plan $12 23%
Simply Healthcare $12 - $141 23%
Oscar $13 24%
Solis Health Plan $14 26%
Access 2 Healthcare Physicians Freedom Optimum Group Members $42 - $43 79%
Access 2 Healthcare Physicians Freedom Health $64 - $66 120%
Access 2 Healthcare Physicians Optimum $64 - $66 120%
Freedom Health Care $70 - $71 131%
Optimum Healthcare $70 - $71 131%
Avmed $71 - $228 133%
Suncoast Neighborly Care $71 - $73 133%
Corvel Corporation $99 186%
Rockport Healthcare Group $99 186%
Prime Health $102 192%
Molina $169 - $247 317%
Evolutions Healthcare Systems $205 - $840 385%
Sunshine State Health Plan $227 - $233 426%
Plotkin Health $446 - $457 838%
Prime Health Sheriff $446 - $457 838%
Multiplan $668 - $776 1255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 38Th Ave N, Saint Petersburg, FL 33710
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals