CMS Price Transparency Data

Blood antibody screen

Facility: HCA Florida Poinciana Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $14
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at HCA Florida Poinciana Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.26x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $54 (101%)
Insurance Median: $14 (26%)
Cash: $54 (101% of Medicare)
Ins. Median: $14 (26% 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
Avmed $3 - $40 6%
Freedom Health $3 - $6 6%
Optimum $3 - $6 6%
Simply $6 - $12 11%
Molina Healthcare $8 - $21 15%
Evolutions $9 - $18 17%
Aetna $10 - $24 19%
Align Senior Care $10 19%
American Health Plan $10 19%
Blue Cross Blue Shield $10 19%
Cigna $10 19%
Devoted Health $10 19%
Fl Health Care Plan $10 19%
Florida Complete Care $10 19%
Humana $10 - $29 19%
Ndms Definitive Care $10 19%
Sunshine State $10 19%
Sunshine State Health Plan $10 - $20 19%
United $10 - $36 19%
Wellcare $10 19%
Wellmed $10 19%
Careplus $11 21%
Centurion $11 21%
Clear Spring Health $11 21%
Gold Kidney Of Florida $11 21%
Ultimate Health Plan $11 21%
Longevity Health Plan $12 23%
Oscar $14 26%
Solis Health Plan $14 26%
Simply Healthcare $15 28%
Plotkin Health $20 - $40 38%
Prime Health Sheriff $20 - $40 38%
Multiplan $30 - $67 56%
Corvel Corporation $98 184%
Prime Health $100 188%
Careworks (Rockport Community) $103 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals