CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Lawnwood Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $31
  • Cash Discount Price: $525
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Lawnwood Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $525. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.58x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$525

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $525 (986%)
Insurance Median: $31 (58%)
Cash: $525 (986% of Medicare)
Ins. Median: $31 (58% 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
Cigna $6 - $442 11%
Aetna $10 - $364 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 - $511 19%
Bright Health $10 - $207 19%
Careplus $10 19%
Delaware Life Insurance $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $144 19%
Innovage Pace $10 19%
Kaiser $10 - $245 19%
Mutual Of Omaha $10 19%
Ndms Definitive Care $10 19%
Prominence Healthfirst $10 19%
Rocky Mountain Health $10 19%
Rocky Mountain Health Plan $10 19%
Sunshine State $10 - $11 19%
Total Longterm Care $10 19%
Triwest Health Alliance $10 19%
Ultimate Health Plan $10 19%
United $10 - $311 19%
United Behavioral Health $10 19%
Veterans Evaluation Services $10 19%
Wellcare $10 19%
Wellmed $10 19%
Centurion $11 21%
Amerihealth Caritas $12 23%
Longevity Health Plan $12 23%
Solis Health Plan $14 26%
Oscar $19 36%
Simply Healthcare $22 41%
Freedom Health $31 - $58 58%
Optimum $31 58%
Avmed $47 - $180 88%
Simply Healthcare Plans $47 88%
Molina $68 - $97 128%
Health Sun Health Plan $77 145%
Pinnacol Workers Comp $83 156%
Multiplan $87 - $621 163%
Sunshine State Health Plan $92 173%
Corvel Corporation $102 192%
Careworks (Rockport) $104 195%
Prime Health $104 - $621 195%
Vail Health $105 197%
Office Of Sheiff Highland Co $126 237%
United Ppo $158 297%
Plotkin Health $180 338%
Prime Health Sherriff $180 338%
Evernorth Bh $288 541%
Western Plains Community Health $449 843%
Northcare $483 907%
Physician Health Partners $483 907%
Medical Development International $552 1037%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals