CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Kendall Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $16
  • Cash Discount Price: $320
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Kendall Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.30x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$320

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $320 (601%)
Insurance Median: $16 (30%)
Cash: $320 (601% of Medicare)
Ins. Median: $16 (30% 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
Freedom Health $5 - $93 9%
Optimum $5 - $50 9%
Avmed $7 - $292 13%
Simply Healthcare Plans $7 - $76 13%
Aetna $10 - $175 19%
Align $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus Sfl $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $199 19%
Leon Health $10 19%
Ndms Definitive Care $10 19%
Oscar $10 - $14 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
United $10 - $263 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellmed $10 19%
Centurion $11 21%
Doctors Healthcare Plan $11 21%
Gold Kidney $11 21%
Molina $11 - $158 21%
Aids Healthcare $12 - $701 23%
Amerihealth Caritas $12 - $15 23%
Health Sun Health Plan $12 - $124 23%
Longevity Health Plan $12 23%
Simply Healthcare $12 23%
Mmm Of Fl (Health Advantage Plan) $13 - $134 24%
United Ppo $13 - $138 24%
Solis Health Plan $14 26%
Sunshine State Health Plan $15 - $152 28%
Naphcare $17 32%
Seven Corners $21 - $23 39%
Wellpath $21 - $23 39%
Plotkin Health $28 - $292 53%
Prime Health Sherriff $28 - $292 53%
Medica Healthcare $32 - $339 60%
Multiplan $42 - $496 79%
Evernorth Bh $45 - $467 85%
Corvel Corporation $107 201%
Careworks (Rockport) $109 205%
Prime Health $109 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals