CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner Choctaw General

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $42
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner Choctaw General is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.79x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$42

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: $68 (128%)
Insurance Median: $42 (79%)
Cash: $68 (128% of Medicare)
Ins. Median: $42 (79% 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
UnitedHealthcare $4 - $77 8%
Cigna $10 - $77 19%
Humana $10 - $63 19%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $10 - $63 19%
Medicaid / KanCare $10 - $42 19%
Medicare (plans) $10 - $72 19%
Primewell Health Services Commercial Exchange Plan $10 - $94 19%
Primewell Health Services – Commercial $10 - $94 19%
Shared Health Mississippi $10 - $66 19%
Blue Cross Blue Shield $11 - $13 21%
Prime Health Services Ppo $11 - $112 21%
Aetna $18 - $91 34%
Prime Health Services Ppo -Workers Comp $19 - $112 36%
Claritev D/B/A Multiplan/Phcs/American Life Care $20 - $105 38%
Cor Vel $20 - $114 38%
Select Administrative Services Network $25 - $98 47%
Zelis $31 - $105 58%
Ambetter / Centene $40 - $64 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Vanity Fair Lane, Po Box 618, Butler, AL 36904
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals