CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida West Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $23
  • Cash Discount Price: $719
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida West Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $719. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.43x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$719

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $719 (1350%)
Insurance Median: $23 (43%)
Cash: $719 (1350% of Medicare)
Ins. Median: $23 (43% 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 - $216 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 - $144 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Triwest Healthcare Alliance $10 19%
United $10 - $324 19%
United Behavioral Health $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Oscar $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Simply Healthcare $15 28%
Naphcare $21 - $23 39%
Seven Corners $21 - $23 39%
Freedom Health $91 171%
Corvel Corporation $94 177%
Prime Health $96 180%
Careworks (Rockport Community) $99 186%
Simply $111 208%
Molina Healthcare $137 - $230 257%
Avmed $173 - $360 325%
Sunshine State Health Plan $183 344%
Plotkin Health $360 676%
Prime Health Sheriff $360 676%
Evolutions Healthcare $468 - $612 879%
Multiplan $561 - $612 1054%
Evernorth $576 1082%
Ppo Next $612 1150%
Novanet $648 1217%
Beacon Health Options $719 1350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals