CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Putnam Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $12
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Putnam Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.23x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $77 (145%)
Insurance Median: $12 (23%)
Cash: $77 (145% of Medicare)
Ins. Median: $12 (23% 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
Avmed $6 - $51 11%
Simply $8 - $16 15%
Humana $9 - $17 17%
Aetna $10 - $31 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Fl Health Care Plan $10 19%
Florida Complete Care $10 19%
Molina Healthcare $10 - $33 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
United $10 - $46 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Putnam County Sheriffs $11 21%
Ultimate Health Plan $11 21%
Evolutions $12 - $24 23%
Longevity Health Plan $12 23%
Oscar $12 23%
Simply Healthcare $12 23%
Sunshine State Health Plan $13 - $26 24%
Plotkin Health $26 - $51 49%
Prime Health Sheriff $26 - $51 49%
Multiplan $40 - $87 75%
Corvel Corporation $92 173%
Prime Health $94 177%
Careworks (Rockport Community) $97 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals