CMS Price Transparency Data

Blood antibody screen

Facility: Rapides Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $10
Cash Discount Price: $186
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Rapides Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.19x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$186

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $186 (349%)

Insurance Median: $10 (19%)

Cash: $186 (349% of Medicare)

Ins. Median: $10 (19% 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 - $36	13%
Amerigroup	$7	13%
Amerihealth Mercy La Lacare	$7	13%
Humana	$7 - $140	13%
Louisiana Healthcare Connections, Inc.	$7	13%
United	$7 - $42	13%
Blue Cross Blue Shield	$10 - $21	19%
Devoted Health	$10	19%
Dignity Care Corporation	$10	19%
Triwest Healthcare Alliance	$10	19%
United Va Ccn	$10	19%
Vantage Health Plan	$10 - $26	19%
Wellcare	$10	19%
Medical Development International	$11	21%
Universal Healthcare	$12	23%
Allegiance Health Management	$18	34%
Verity	$56	105%
Cigna	$58	109%
Ppo Plus	$71	133%
Louisiana Workers Compensation Corporation	$91	171%
Gilsbar 360	$99	186%
Multiplan	$101 - $108	190%
Dma Regional Ppo	$130	244%
Employers Health Network	$130	244%
First Health	$130	244%
Healthsouth Corporation	$130	244%
Plan Vista Solutions (Nppn)	$145	272%
Bestcomp	$151	284%

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 $186.
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 Rapides Regional Medical Center 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.