CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida South Shore Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $16
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 0.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida South Shore Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.30x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $173 (325%)
Insurance Median: $16 (30%)
Cash: $173 (325% of Medicare)
Ins. Median: $16 (30% 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 Health $1 - $100 2%
Access 2 Healthcare Physicians Freedom Optimum Group Members $1 - $65 2%
Access 2 Healthcare Physicians Optimum $1 - $100 2%
Avmed $1 - $346 2%
Freedom Health Care $1 - $108 2%
Optimum Healthcare $1 - $108 2%
Simply Healthcare $2 - $213 4%
United $2 - $623 4%
Evolutions Healthcare Systems $3 - $1,275 6%
Molina $3 - $374 6%
Aetna $4 - $416 8%
Humana $4 - $388 8%
Sunshine State Health Plan $4 - $353 8%
Plotkin Health $8 - $693 15%
Prime Health Sheriff $8 - $693 15%
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%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Ultimate Health Plan $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%
Multiplan $11 - $1,178 21%
Secur $11 21%
Longevity Health Plan $12 23%
Oscar $13 24%
Solis Health Plan $14 26%
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: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals