CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner Medical Center Acute

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $77
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner Medical Center Acute is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.45x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $31 (58%)
Insurance Median: $77 (145%)
Cash: $31 (58% of Medicare)
Ins. Median: $77 (145% 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
Blue Cross Blue Shield $6 - $49 11%
Aetna $7 - $36 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 $19 36%
Tricare $19 - $49 36%
Medicaid / KanCare $40 - $42 75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $49 92%
Healthy Blue Dual Advantage (Hmo-D-Snp) $49 92%
Medicare (plans) $49 92%
Ochsner Health Plan $49 92%
Pace New Orleans $54 101%
First Health Network $77 - $112 145%
Louisiana Workers' Compensation Corporation (Lwcc) $77 - $112 145%
Mississippi Physicians Care Network $77 - $112 145%
Healthcomp & Personify Health (Formerly Gilsbar) $81 - $118 152%
Claritev D/B/A Multiplan/Phcs/American Life Care $82 - $120 154%
Zelis $82 - $120 154%
Employers Health Network (Ehn) $88 - $128 165%
Prime Health Services Ppo $88 - $128 165%
Usa Managed Care Network $88 - $128 165%
Behavioral Health Systems $93 - $135 175%
Evolutions Healthcare $93 - $135 175%
Galaxy Health Network Ppo $93 - $135 175%
Galaxy Health Network Wc $93 - $135 175%
Christus Health Exchange Plan $99 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals