CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Orange Park Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $17
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Orange Park Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.32x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $132 (248%)
Insurance Median: $17 (32%)
Cash: $132 (248% of Medicare)
Ins. Median: $17 (32% 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
Optimum Healthcare $5 - $17 9%
Avmed $7 - $58 13%
United $7 - $94 13%
Hospice Community $8 15%
Hospice Haven $9 17%
Simply Healthcare $9 - $32 17%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $85 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Gold Kidney $11 21%
Clay County Sheriffs Office $12 23%
Longevity $12 23%
Positive Healthcare $13 - $46 24%
Oscar $14 26%
Molina Healthcare $15 - $56 28%
Sunshine State Health Plan $15 - $53 28%
Aetna $17 - $62 32%
Medicare (plans) $26 - $94 49%
Plotkin Health $29 - $104 54%
Multiplan $44 - $177 83%
Evernorth $46 - $166 86%
Evolutions Healthcare $46 - $177 86%
Ppo Next $48 - $177 90%
Novanet $51 - $187 96%
Corvel Corporation $98 184%
Prime Health $100 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals