CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Oak Hill Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $51
  • Cash Discount Price: $711
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Oak Hill Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $711. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.96x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.
Cash / Self-Pay
$711

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $711 (1335%)
Insurance Median: $51 (96%)
Cash: $711 (1335% of Medicare)
Ins. Median: $51 (96% 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 - $64 2%
Access 2 Healthcare Physicians Optimum $1 - $64 2%
Avmed $2 - $222 4%
Freedom Health Care $2 - $69 4%
Optimum Healthcare $2 - $69 4%
Simply Healthcare $3 - $137 6%
United $3 - $400 6%
Molina $4 - $240 8%
Evolutions Healthcare Systems $5 - $817 9%
Sunshine State Health Plan $5 - $227 9%
Aetna $6 - $267 11%
Humana $6 - $249 11%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Hernando-Pasco Hospice $10 19%
Ndms Definitive Care $10 19%
Plotkin Health $10 - $444 19%
Prime Health Sheriff $10 - $444 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%
Secur $11 21%
Oscar $13 24%
Multiplan $15 - $755 28%
Access 2 Healthcare Physicians Freedom Optimum Group Members $33 - $42 62%
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: 11375 Cortez Blvd, Brooksville, FL 34613
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals