CMS Price Transparency Data

Blood antibody screen

Facility: Marion Communtiy Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $19
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Marion Communtiy Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.36x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $84 (158%)
Insurance Median: $19 (36%)
Cash: $84 (158% of Medicare)
Ins. Median: $19 (36% 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
Align Senior Care $10 19%
American Health Plan $10 19%
Avmed $10 - $25 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Freedom Optimum $10 19%
Humana $10 - $18 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
United $10 - $41 19%
Va Purchased Care Program $10 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Aetna $11 - $27 21%
Careplus $11 21%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Simply Healthcare $12 23%
Simply $13 - $14 24%
Molina Healthcare $16 - $29 30%
Evolutions $19 - $21 36%
Evolutions Healthcare $19 - $21 36%
Naphcare $21 - $23 39%
Sunshine State Health Plan $21 - $23 39%
University Ma Federal Corrections $21 39%
Wellpath $21 - $23 39%
Plotkin Health $42 - $46 79%
Prime Health Sheriff $42 - $46 79%
Multiplan $65 - $71 122%
Ppo Next $71 - $77 133%
Novanet $75 - $82 141%
Corvel Corporation $93 175%
Prime Health $95 178%
Careworks (Rockport Community) $98 184%
Marion County Schools $98 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals