CMS Price Transparency Data

Blood antibody screen

Facility: Abbeville General Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $69
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Abbeville General Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.30x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $46 (86%)
Insurance Median: $69 (130%)
Cash: $46 (86% of Medicare)
Ins. Median: $69 (130% 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
Cigna $2 - $46 4%
Blue Cross Blue Shield $6 - $46 11%
Magellan Behavioral Health $6 11%
Triwest Healthcare Alliance $13 24%
Office Of Group Benefits $29 54%
Humana $42 - $118 79%
Aetna $46 - $65 86%
Healthy Blue $46 86%
People'S Health $46 86%
Self Pay $46 86%
UnitedHealthcare $46 - $74 86%
Medicare (plans) $47 88%
Sierra Health And Life Insurance $47 88%
Sterling Life Insurance Company $47 88%
Gilsbar Ppo $69 - $72 130%
Ppo Plus $69 130%
United Behavioral Health Inc $69 130%
Verity Healthnet National $69 130%
American Lifecare (Phcs) $72 - $74 135%
Guardian Resources $74 139%
Med-Comp Usa Inc $78 147%
Coventry Company $79 148%
Galaxy Health Network $79 148%
Usa Managed Care $79 148%
Health Payors Organization $83 156%
Miscellaneous Insurance $92 173%
Wellcare Of Louisiana $92 173%
Vantage Health Plan $100 - $166 188%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 118 N Hospital Dr, Abbeville, LA 70510
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals