CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $13
  • Cash Discount Price: $1,103
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Gulf Coast Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,103. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.24x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$1,103

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $1,103 (2072%)
Insurance Median: $13 (24%)
Cash: $1,103 (2072% of Medicare)
Ins. Median: $13 (24% 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 - $331 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%
Hospice Big Bend $10 19%
Humana $10 - $419 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Triwest Healthcare Alliance $10 19%
United $10 - $496 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Oscar $13 24%
Simply Healthcare $15 28%
Corvel Corporation $91 171%
Prime Health $93 175%
Careworks (Rockport Community) $96 180%
Simply $170 319%
Molina Healthcare $210 - $353 394%
Avmed $265 - $552 498%
Sunshine State Health Plan $281 528%
Plotkin Health $552 1037%
Prime Health Sheriff $552 1037%
Multiplan $860 - $938 1615%
Ppo Next $938 1762%
Novanet $993 1865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals