CMS Price Transparency Data
Blood antibody screen
Facility: Avoyelles Hospital
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $57
- Cash Discount Price: $29
- vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Avoyelles Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.07x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$29
Average discount available for prompt cash payment at this facility.
Insurance Median
$57
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: $29 (54%)
Insurance Median: $57 (107%)
Cash: $29 (54% of Medicare)
Ins. Median: $57 (107% 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
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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 | $5 - $54 | 9% |
| Cigna | $5 - $54 | 9% |
| Correct Cr Int Hlt | $5 - $20 | 9% |
| Mcd Amerihealth Caritas | $5 - $20 | 9% |
| Mcd Healthy Blue | $5 - $20 | 9% |
| Mcd La Hc Conn | $5 - $20 | 9% |
| Medicaid / KanCare | $5 - $20 | 9% |
| UnitedHealthcare | $5 - $20 | 9% |
| Mcd Ms | $6 - $22 | 11% |
| Humana | $9 - $54 | 17% |
| Bankers Life | $10 | 19% |
| Champva | $10 | 19% |
| Mcr Lagniappe | $10 | 19% |
| Medeico Ins Co | $10 | 19% |
| Medicare (plans) | $10 | 19% |
| Mmc Allwell | $10 | 19% |
| Mmc Blue Advantage | $10 | 19% |
| Mmc Healthy Blue Dual Adv | $10 | 19% |
| Mmc Mcr Hmo Miscellaneous | $10 | 19% |
| Mmc Priority Hlth Pffs | $10 | 19% |
| Mmc Vantage Hlth | $10 | 19% |
| Mmc Wellcare | $10 | 19% |
| Mutual Of Omaha | $10 | 19% |
| Neba Inc | $10 | 19% |
| Philadelphia American Lif | $10 | 19% |
| Sentinel Security Life | $10 | 19% |
| Trustmark Health Benefits | $10 - $96 | 19% |
| Tunica Biloxi | $10 - $96 | 19% |
| United Amer Ins | $10 | 19% |
| Veterans Evaluation Serv | $10 | 19% |
| Wps Vacca | $10 | 19% |
| All Savers | $12 | 23% |
| Geha | $12 | 23% |
| United Hlth One | $12 | 23% |
| Gulf South Zelis | $13 | 24% |
| Amer Contl Ins | $15 - $54 | 28% |
| Blue Cross Blue Shield | $15 | 28% |
| Coventry | $15 - $54 | 28% |
| First Choice Health | $15 - $54 | 28% |
| Meritan Health | $15 - $96 | 28% |
| Ofc Of Grp Bene | $15 | 28% |
| Student Assurances | $29 - $96 | 54% |
| Ppo Plus Llc | $57 | 107% |
| Zelis Healthcare Bpa | $57 | 107% |
| Gilsbar | $60 | 113% |
| Amerind | $86 | 162% |
| Applied Underwriters | $86 | 162% |
| Sedgwick | $86 | 162% |
| Us Dept Of Labor | $86 | 162% |
| Wc Clms Admin Svcs | $86 | 162% |
| Wc Clms Mgmnt Walmart | $86 | 162% |
| Wc Esis | $86 | 162% |
| Wc Fara | $86 | 162% |
| Wc Gallagher Bassett | $86 | 162% |
| Wc Guide One | $86 | 162% |
| Wc Hartford Med | $86 | 162% |
| Wc Luba | $86 | 162% |
| Wc Lwcc | $86 | 162% |
| Wc Paragon Casino Resort | $86 | 162% |
| Wc Risk Mgmnt | $86 | 162% |
| Wc Stone Trust | $86 | 162% |
| Wc Summit Consulting Hold | $86 | 162% |
| Wc Travelers Ins | $86 | 162% |
| Wc Trs Workers Comp Claim | $86 | 162% |
| Wc Us Dol | $86 | 162% |
| Wc Zurich | $86 | 162% |
| Aarp | $96 | 180% |
| Admin Concepts | $96 | 180% |
| All Saints Hospice | $96 | 180% |
| All State | $96 | 180% |
| Allegiance Health Hospice | $96 | 180% |
| Allied Natl | $96 | 180% |
| Amfirst | $96 | 180% |
| Avoy Parish School Board | $96 | 180% |
| Avoyelles Parish Sheriff | $96 | 180% |
| Bollinger | $96 | 180% |
| Ccmsi | $96 | 180% |
| Central States | $96 | 180% |
| Christus Health Plan | $96 | 180% |
| Compassionate Care Hospic | $96 | 180% |
| Core Source | $96 | 180% |
| Coushatta Hlth Dept | $96 | 180% |
| Ebms | $96 | 180% |
| Federated Ins | $96 | 180% |
| Feedom Life | $96 | 180% |
| Fidelity Standard Life Co | $96 | 180% |
| Fox Everette | $96 | 180% |
| Guarantee Trust | $96 | 180% |
| Heart Of Hospice | $96 | 180% |
| Hos Christus Hospice | $96 | 180% |
| Hos Guardian Hospice Care | $96 | 180% |
| Hos Harbor Hospice Alex | $96 | 180% |
| Hos La Hospice Palliative | $96 | 180% |
| Hos Passages Hospice N. | $96 | 180% |
| Hos St Joseph Hospice | $96 | 180% |
| Hospice Miscellaneous | $96 | 180% |
| Ins Mgmnt Admin | $96 | 180% |
| Ins Tpa | $96 | 180% |
| Liberty Health Share | $96 | 180% |
| Lumico | $96 | 180% |
| Manhattan Life Ins | $96 | 180% |
| Medi Share | $96 | 180% |
| Misc Comm | $96 | 180% |
| Nalc | $96 | 180% |
| New Era Life | $96 | 180% |
| North American | $96 | 180% |
| Phcs | $96 | 180% |
| Physicians Mutual | $96 | 180% |
| Pipeline Ind Bene | $96 | 180% |
| Progressive Auto | $96 | 180% |
| Reliance Standard Life | $96 | 180% |
| Rural Carriers | $96 | 180% |
| Shelter Ins Co | $96 | 180% |
| Sierre Health And Life | $96 | 180% |
| State Farm | $96 | 180% |
| State Mutual | $96 | 180% |
| Sterling Investors | $96 | 180% |
| The Health Plan | $96 | 180% |
| Tribal Hlth Partners | $96 | 180% |
| Tricare | $96 | 180% |
| Uct | $96 | 180% |
| Unified Life | $96 | 180% |
| Usaa Life Ins | $96 | 180% |
| Web-Tpa | $96 | 180% |
| Woodmen Of The World | $96 | 180% |