CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Raulerson Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $63
  • Cash Discount Price: $512
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Raulerson Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.18x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$512

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

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: $512 (962%)
Insurance Median: $63 (118%)
Cash: $512 (962% of Medicare)
Ins. Median: $63 (118% 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 - $236 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $315 19%
Ndms Definitive Care $10 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
Ultimate Health Plan $10 19%
United $10 - $355 19%
Veterans Evaluation Services $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%
Freedom Health $20 - $126 38%
Optimum $20 - $68 38%
Simply Healthcare $22 41%
Avmed $31 - $394 58%
Simply Healthcare Plans $31 - $102 58%
Molina $45 - $213 85%
Health Sun Health Plan $50 - $168 94%
Sunshine State Health Plan $60 - $201 113%
Corvel Corporation $92 173%
Careworks (Rockport) $94 177%
Prime Health $94 177%
United Ppo $103 - $347 193%
Plotkin Health $118 - $394 222%
Prime Health Sherriff $118 - $394 222%
Multiplan $176 - $670 331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals