CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Northside Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $85
  • Cash Discount Price: $1,176
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Northside Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,176. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.60x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.
Cash / Self-Pay
$1,176

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $1,176 (2209%)
Insurance Median: $85 (160%)
Cash: $1,176 (2209% of Medicare)
Ins. Median: $85 (160% 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 - $353 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Baycare Health Plans $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $329 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United $10 - $529 19%
United Va Ccn $10 19%
Wellcare $10 19%
Wellmed $10 19%
Careplus $11 21%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Secur $11 21%
Longevity Health Plan $12 23%
Simply Healthcare $12 - $181 23%
Oscar $13 24%
Solis Health Plan $14 26%
Access 2 Healthcare Physicians Freedom Optimum Group Members $55 103%
Access 2 Healthcare Physicians Freedom Health $85 160%
Access 2 Healthcare Physicians Optimum $85 160%
Freedom Health Care $92 173%
Optimum Healthcare $92 173%
Avmed $94 - $294 177%
Suncoast Neighborly Care $94 177%
Corvel Corporation $99 186%
Rockport Healthcare Group $99 186%
Prime Health $102 192%
Molina $224 - $318 421%
Evolutions Healthcare Systems $271 - $1,082 509%
Sunshine State Health Plan $300 563%
Plotkin Health $588 1104%
Prime Health Sheriff $588 1104%
Multiplan $882 - $1,000 1657%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6000 49Th St N, Saint Petersburg, FL 33709
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals