CMS Price Transparency Data

Blood antibody screen

Facility: Lawrence Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $11
Cash Discount Price: $22
vs. Medicare Baseline: 0.21x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Lawrence Memorial Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.21x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $22 (41%)

Insurance Median: $11 (21%)

Cash: $22 (41% of Medicare)

Ins. Median: $11 (21% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$1 - $52	2%
Arkansas Total Care	$3 - $9	6%
Caresource	$3 - $12	6%
Empower Healthcare Solutions	$3 - $9	6%
Arkansas Superior Select	$8 - $33	15%
Cigna	$8 - $43	15%
Humana	$8 - $43	15%
Provider Partners Health Plans	$8 - $33	15%
Wellcare By Allwell	$8 - $33	15%
Wellcare Health Plans	$8 - $33	15%
Allwell	$9 - $45	17%
Amerigroup	$9 - $43	17%
Wellcare	$9 - $75	17%
Ambetter / Centene	$10 - $56	19%
Qualchoice Of Arkansas	$10 - $41	19%
Qualchoice	$11 - $56	21%
Aetna	$12 - $48	23%
Assured Benefits Administrators	$13 - $51	24%
Healthlink	$14 - $70	26%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $22.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lawrence Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.