CMS Price Transparency Data

Blood antibody screen

Facility: Larkin Community Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $11
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Larkin Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $47 (88%)
Insurance Median: $11 (21%)
Cash: $47 (88% of Medicare)
Ins. Median: $11 (21% 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 - $67 4%
Ambetter / Centene $2 4%
Community Care Phks Mcaid-All Other Plans $2 4%
Corvel Mcaid Workers Comp $2 4%
Florida Comm Care Mcaid $2 4%
Humana $2 - $67 4%
Medicaid / KanCare $2 4%
Molina Exch Marketplace-All Other Plans $2 4%
Sunshine Behavioral $2 4%
UnitedHealthcare $2 - $308 4%
Fdc-All Plans $7 13%
Blue Cross Blue Shield $9 - $172 17%
Clear Springs Hlth-All Plans $10 19%
Florida Comm Care Mcare-All Other Plans $10 19%
Medicare (plans) $10 - $70 19%
Ops Maritime-All Plans $10 19%
Opus Hospice Ip Only-All Plans $10 19%
Preferred Care Partners Mcare-All Plans $10 19%
Unicare Simply Mcare Ppo-All Plans $10 19%
Fci-All Plans $11 21%
Wellpath-All Plans $11 21%
Allianz (Azga)-All Plans $13 24%
Cigna $17 32%
Healthsun-All Plans $20 38%
Star Network-All Plans $27 51%
Jmh Health Plan Hmo/Ppo-All Other Plans $37 69%
Global Excel-All Plans $40 75%
Haa Preferred Partners-All Plans $40 75%
Corvel Mcare Workers Comp-All Plans $60 113%
Magellan Complete Care $60 113%
Avmed-All Plans $67 126%
Careplus Health-All Other Plans $67 126%
Centurion-All Plans $67 126%
Coventry Comml-All Plans $67 126%
Doctors Healthcare-All Plans $67 126%
First Med Hp Of Fl-All Plans $67 126%
Florida Health Solution/Hmo-All Plans $67 126%
Bright Health-All Other Plans $80 150%
Oscar Health-All Plans $134 252%
United Prop Casualty-All Plans $200 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals