CMS Price Transparency Data

Blood antibody screen

Facility: Northern Louisiana Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $311
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 5.84x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Northern Louisiana Medical Center is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 5.84x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$311

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: $214 (402%)
Insurance Median: $311 (584%)
Cash: $214 (402% of Medicare)
Ins. Median: $311 (584% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 584% of the Medicare baseline (a markup of 484%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $233 13%
Blue Cross Blue Shield $7 - $56 13%
Humana $7 - $61 13%
Medicaid / KanCare $7 - $388 13%
UnitedHealthcare $7 - $233 13%
Champus $8 15%
Champva $8 15%
Golden Rule Ins $8 - $233 15%
Tricare $8 - $10 15%
Gulf South Services $10 19%
Medicare (plans) $10 19%
Mutual Of Omaha $10 19%
Va $10 19%
Vantage Advantage $10 19%
Veterans Evaluation Svcs $10 19%
Vantage Health Plan Ppaca $19 36%
Vantage Health Plan $20 38%
Verity Healthnet $190 357%
Cigna $194 364%
Kaiser Permanente $194 364%
Gilsbar $214 402%
Self Pay $214 402%
Geha $311 - $369 584%
First Health $330 620%
Multiplan $330 620%
Phcs $330 620%
Work Comp City Of Ruston $350 657%
Work Comp First Health $350 657%
Work Comp Nlmc Emp $350 657%
Workers Compensation $350 657%
Aarp $388 729%
Aflc American Family Life $388 729%
American Life Accident $388 729%
Apwu Health Plan $388 729%
Bankers Life And Casualty $388 729%
Benefit Trust Life $388 729%
Crime Victims Compensatio $388 729%
Equitable $388 729%
Fox Everett Inc $388 729%
Gmp Employers Retiree Tru $388 729%
Gsu Athletics $388 729%
Guarantee Trust Life Ins $388 729%
Healthfirst Tpa $388 729%
Hospice Of Caring Hearts $388 729%
Ima Insurance $388 729%
Industrial Accounts $388 729%
Liberty Healthshare $388 729%
Liberty Mutual Group $388 729%
Lifecare Specialty Hosp $388 729%
Lin Parish Detention $388 729%
Lincoln Kidney Center $388 729%
Ltu Athletics $388 729%
Ltu Student Ins Bollinger $388 729%
Mcr American Hlth Adv $388 729%
Misc Commercial $388 729%
Mva Insurance Payors $388 729%
Nalc Health Benefit Plan $388 729%
Nalc Natl Assoc Ltr Carri $388 729%
Newera $388 729%
Nlmc Community Services $388 729%
Physicians Mutual Ins $388 729%
Premier Hospice $388 729%
Principal Mutual Life Ins $388 729%
Protective Life Ins $388 729%
Ruston Regional Specialty $388 729%
Specialty Hosp Of Winnfie $388 729%
State Farm Insurance $388 729%
State Mutual Ins $388 729%
Sterling Investors Life $388 729%
The Hartford $388 729%
Union Bankers Insurance C $388 729%
Union Fidelity Life Ins $388 729%
United American $388 729%
United Teachers Ins $388 729%
Us Dept Of Labor $388 729%
Washington National Ins $388 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals