CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner American Legion Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $49
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner American Legion Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.92x the Medicare baseline. Located in 1634 Elton Road, Jennings, LA.
Cash / Self-Pay
$32

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: $32 (60%)
Insurance Median: $49 (92%)
Cash: $32 (60% 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
Verity Commercial And First Choice Network $4 8%
Aetna $5 - $102 9%
Amerihealth Caritas Louisiana (Healthy Louisiana) $5 9%
Healthy Blue (Healthy Louisiana) $5 9%
Humana $5 - $49 9%
Louisiana Healthcare Connections (Healthy Louisiana) $5 9%
UnitedHealthcare $5 - $49 9%
Cigna $19 36%
Blue Cross Blue Shield $21 - $49 39%
Healthy Blue Dual Advantage (Hmo-D-Snp) $49 92%
Medicare (plans) $49 92%
Ochsner Health Plan $49 92%
Tricare $49 92%
Wellcare Of Louisiana $49 92%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $50 94%
Zelis $70 131%
Louisiana Workers' Compensation Corporation (Lwcc) $76 - $908 143%
Healthcomp & Personify Health (Formerly Gilsbar) $80 150%
Provider Network Of America $83 156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1634 Elton Road, Jennings, LA 70546
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals