CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Brandon Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $42
  • Cash Discount Price: $418
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Brandon Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $418. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.79x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.
Cash / Self-Pay
$418

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $418 (785%)
Insurance Median: $42 (79%)
Cash: $418 (785% of Medicare)
Ins. Median: $42 (79% 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 $6 - $25 11%
Access 2 Healthcare Physicians Freedom Health $9 - $39 17%
Access 2 Healthcare Physicians Optimum $9 - $39 17%
Freedom Health Care $9 - $42 17%
Optimum Healthcare $9 - $42 17%
Aetna $10 - $161 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Avmed $10 - $134 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 - $150 19%
Lifepath Hospice $10 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $10 19%
United $10 - $242 19%
United Behavioral Health $10 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 - $83 23%
Oscar $13 24%
Solis Health Plan $14 26%
Molina $23 - $145 43%
Evolutions Healthcare Systems $28 - $494 53%
Sunshine State Health Plan $31 - $137 58%
Beacon Health Options $61 - $269 115%
Plotkin Health $61 - $269 115%
Prime Health Sheriff $61 - $269 115%
Multiplan $91 - $457 171%
Evernorth $97 - $430 182%
Corvel Corporation $99 186%
Rockport Healthcare Group $99 186%
Prime Health $102 192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 119 Oakfield Dr, Brandon, FL 33511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals