CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner Lafayette General Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $49
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner Lafayette General Medical Center is $49. 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 0.92x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $49 (92%)
Cash: $22 (41% of Medicare)
Ins. Median: $49 (92% 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 $7 - $69 13%
Amerihealth Caritas Louisiana (Healthy Louisiana) $7 13%
Healthy Blue (Healthy Louisiana) $7 13%
Humana $7 - $49 13%
Louisiana Healthcare Connections (Healthy Louisiana) $7 13%
UnitedHealthcare $7 - $49 13%
Cigna $11 - $49 21%
Blue Cross Blue Shield $22 - $49 41%
Verity Commercial And First Choice Network $23 - $68 43%
Zelis $25 - $76 47%
Healthy Blue Dual Advantage (Hmo-D-Snp) $49 92%
Medicare (plans) $49 92%
Ochsner Health Plan $49 92%
Tricare $49 92%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $50 94%
Wellcare Of Louisiana $51 96%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1214 Coolidge Avenue, Lafayette, LA 70503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals