CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Trinity Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $52
  • Cash Discount Price: $401
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Trinity Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.98x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$401

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $401 (753%)
Insurance Median: $52 (98%)
Cash: $401 (753% of Medicare)
Ins. Median: $52 (98% 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 $1 - $214 2%
Avmed $1 - $179 2%
Evolutions Healthcare Systems $1 - $657 2%
Humana $1 - $200 2%
Molina $1 - $193 2%
Sunshine State Health Plan $1 - $182 2%
Beacon Health Options $2 - $357 4%
Plotkin Health $2 - $357 4%
Prime Health Sheriff $2 - $357 4%
United $2 - $322 4%
Multiplan $3 - $607 6%
Evernorth $4 - $572 8%
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%
Hernando-Pasco Hospice $10 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United Behavioral Health $10 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%
Pasco Sheriff'S Office $11 21%
Secur $11 21%
Longevity Health Plan $12 23%
Simply Healthcare $12 - $110 23%
Access 2 Healthcare Physicians Freedom Optimum Group Members $13 - $34 24%
Oscar $13 24%
Solis Health Plan $14 26%
Access 2 Healthcare Physicians Freedom Health $20 - $51 38%
Access 2 Healthcare Physicians Optimum $20 - $51 38%
Freedom Health Care $22 - $56 41%
Optimum Healthcare $22 - $56 41%
Corvel Corporation $99 186%
Rockport Healthcare Group $99 186%
Prime Health $102 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals