CMS Price Transparency Data

Blood antibody screen

Facility: Lake Charles Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $46
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lake Charles Memorial Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.86x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $80 (150%)
Insurance Median: $46 (86%)
Cash: $80 (150% of Medicare)
Ins. Median: $46 (86% 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
Aetna $7 - $161 13%
Medicaid / KanCare $7 13%
United_Healthcare $9 17%
Blue_Cross_Blue_Shield_La $20 38%
Blue Cross Blue Shield $46 86%
Champus_Va $46 86%
Cigna $46 - $100 86%
Humana $46 - $160 86%
Medicare (plans) $46 86%
Tricare $46 86%
Veterans_Administration $46 86%
Veterans_Choice-Triwest $46 86%
Meritain $60 113%
Verity $64 120%
Ppo_Plus_ $80 150%
Coushatta_Tribe_Dept_Of_Health $82 154%
Phcs $94 177%
United_Healthcare_Behavorial_Health $94 177%
Lwcc $103 193%
Vantage_Commercial $105 197%
First_Health $107 201%
Workers_Compensation $121 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals