CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner LSU Health Monroe

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $49
Cash Discount Price: $27
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner LSU Health Monroe is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$27

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: $27 (51%)

Insurance Median: $49 (92%)

Cash: $27 (51% 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.

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
Aetna	$7 - $49	13%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$7	13%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$7	13%
Humana	$7 - $49	13%
Louisiana Healthcare Connections (Healthy Louisiana)	$7	13%
UnitedHealthcare	$7 - $49	13%
Blue Cross Blue Shield	$19 - $49	36%
Cigna	$24	45%
First Health Network	$25	47%
Verity Health Network – Lsu First Choice	$43 - $56	81%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$49	92%
Medicare (plans)	$49	92%
Vantage Health Plan - Commercial	$53	100%
Multiplan/Phcs/American Lifecare	$72 - $93	135%
Usa Managed Care Network	$77 - $100	145%
Zelis	$85	160%
Healthcomp Ppo (Formerly Gilsbar 360	$121	227%

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 $27.
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 Ochsner LSU Health Monroe 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.