CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Palms West Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $104
  • Cash Discount Price: $929
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Palms West Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $929. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.95x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$929

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $929 (1745%)
Insurance Median: $104 (195%)
Cash: $929 (1745% of Medicare)
Ins. Median: $104 (195% 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 - $279 19%
Align $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Careplus Sfl $10 19%
Cigna $10 19%
Devoted Health $10 19%
Florida Complete Care $10 19%
Humana $10 - $316 19%
Ndms Definitive Care $10 19%
Oscar $10 - $14 19%
Prominence Healthfirst $10 19%
Sunshine State $10 - $11 19%
United $10 - $418 19%
Veterans Evaluation Services $10 19%
Wellmed $10 19%
Centurion $11 21%
Doctors Healthcare Plan $11 21%
Gold Kidney $11 21%
Amerihealth Caritas $12 - $15 23%
Longevity Health Plan $12 23%
Simply Healthcare $12 23%
Solis Health Plan $14 26%
Freedom Health $80 - $149 150%
Optimum $80 150%
Corvel Corporation $103 193%
Careworks (Rockport) $105 197%
Prime Health $105 197%
Avmed $121 - $464 227%
Simply Healthcare Plans $121 227%
Molina $177 - $251 332%
Health Sun Health Plan $198 372%
Aids Healthcare $204 - $1,115 383%
Mmm Of Fl (Health Advantage Plan) $214 402%
United Ppo $220 413%
Sunshine State Health Plan $242 455%
Health Care District $464 872%
Palm Beach Juvenile Correction $464 872%
Plotkin Health $464 872%
Prime Health Sherriff $464 872%
Medica Healthcare $539 1012%
Healthy Palm Beaches $550 1033%
Multiplan $697 - $790 1309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals