CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $56
  • Cash Discount Price: $323
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Fort Walton-Destin Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $323. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.05x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$323

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $323 (607%)
Insurance Median: $56 (105%)
Cash: $323 (607% of Medicare)
Ins. Median: $56 (105% 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 - $97 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Florida Complete Care $10 19%
Healthspring Of Florida $10 19%
Humana $10 - $123 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Triwest Healthcare Alliance $10 19%
United $10 - $145 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Oscar $13 24%
Simply Healthcare $15 28%
Simply $50 94%
Molina Healthcare $61 - $103 115%
Avmed $78 - $162 147%
Sunshine State Health Plan $82 154%
Corvel Corporation $99 186%
Prime Health $101 190%
Careworks (Rockport Community) $104 195%
Plotkin Health $162 304%
Prime Health Sheriff $162 304%
Evolutions Healthcare $210 - $291 394%
Naphcare $210 394%
Multiplan $252 - $275 473%
Evernorth $258 485%
Ppo Next $275 517%
Novanet $291 547%
Beacon Health Options $323 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals