CMS Price Transparency Data

Blood antibody screen

Facility: St Lucie Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $22
  • Cash Discount Price: $1,401
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at St Lucie Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,401. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.41x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$1,401

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $1,401 (2631%)
Insurance Median: $22 (41%)
Cash: $1,401 (2631% of Medicare)
Ins. Median: $22 (41% 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 - $420 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%
Hospice Of Treasure Coast $10 19%
Hospice Treasure Coast $10 19%
Humana $10 - $560 19%
Ndms Definitive Care $10 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
Ultimate Health Plan $10 19%
United $10 - $630 19%
United Behavioral Health $10 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%
Simply Healthcare $22 41%
Corvel Corporation $102 192%
Careworks (Rockport) $104 195%
Prime Health $104 195%
Freedom Health $120 - $224 225%
Optimum $120 225%
Avmed $182 - $700 342%
Simply Healthcare Plans $182 342%
Molina $266 - $378 500%
Health Sun Health Plan $298 560%
Sunshine State Health Plan $357 671%
United Ppo $616 1157%
Plotkin Health $700 1315%
Prime Health Sherriff $700 1315%
Multiplan $1,051 - $1,191 1974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals