CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Fawcett Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $11
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Fawcett Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $33 (62%)
Insurance Median: $11 (21%)
Cash: $33 (62% of Medicare)
Ins. Median: $11 (21% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $1 - $34 2%
Access 2 Healthcare Physicians Freedom Health $2 - $52 4%
Access 2 Healthcare Physicians Optimum $2 - $52 4%
Avmed $2 - $181 4%
Freedom Health Care $2 - $56 4%
Optimum Healthcare $2 - $56 4%
Simply Healthcare $4 - $111 8%
United $4 - $325 8%
Molina $5 - $195 9%
Evolutions Healthcare Systems $6 - $665 11%
Humana $7 - $202 13%
Sunshine State Health Plan $7 - $184 13%
Aetna $8 - $217 15%
Align Senior Care $10 19%
American Health Plan $10 19%
Behealthy America $10 - $282 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Florida Complete Care $10 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United Va Ccn $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Healthcare Sarasota $13 - $362 24%
Plotkin Health $13 - $362 24%
Prime Health Sheriff $13 - $362 24%
Oscar $15 28%
Multiplan $19 - $615 36%
Corvel Corporation $96 180%
Rockport Healthcare Group $96 180%
Prime Health $98 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals