CMS Price Transparency Data
Blood antibody screen
Facility: Claiborne Memorial Medical Center
Billing Code: 86850 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86850
- Insurance Median: $96
- Cash Discount Price: $148
- vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Claiborne Memorial Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.80x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$148
Average discount available for prompt cash payment at this facility.
Insurance Median
$96
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: $148 (278%)
Insurance Median: $96 (180%)
Cash: $148 (278% of Medicare)
Ins. Median: $96 (180% 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 |
|---|---|---|
| All Savers | $5 | 9% |
| Ambetter / Centene | $5 | 9% |
| Golden Rule Ins Co | $5 | 9% |
| Medicaid / KanCare | $5 - $64 | 9% |
| United Behavioral Health | $5 | 9% |
| UnitedHealthcare | $5 - $64 | 9% |
| Aetna | $7 - $96 | 13% |
| Amerihealth Caritas La | $7 - $64 | 13% |
| Community Health Solution | $7 - $64 | 13% |
| Correctcare Intergrated | $7 - $64 | 13% |
| Healthy Blue | $7 - $64 | 13% |
| Humana | $7 - $148 | 13% |
| Louisiana Hc Connections | $7 - $64 | 13% |
| Magellan Services | $7 - $64 | 13% |
| Arcadian Community Mcr Hm | $10 | 19% |
| Blue Cross Blue Shield | $10 - $37 | 19% |
| Champus | $10 | 19% |
| Champva | $10 | 19% |
| Cigna | $10 - $111 | 19% |
| Healthy Blue Dual Adv | $10 | 19% |
| Kaiser Foundation Health | $10 | 19% |
| Medicare (plans) | $10 | 19% |
| Peoples Health Network | $10 | 19% |
| Pyramid Claims Mcr Hmo | $10 | 19% |
| Sterling Connect 2 | $10 | 19% |
| Sterling Premier Mc Hmo | $10 | 19% |
| Superior Health Mcr Hmo | $10 | 19% |
| Tenet Mcr Hmo | $10 | 19% |
| Tricare | $10 | 19% |
| United Hc Mcr Hmo | $10 | 19% |
| Universal Hc Mcr Hmo | $10 | 19% |
| Us Dept Of Labor | $10 | 19% |
| Vantage Health Mcr Hmo | $10 | 19% |
| Windsor Sterling Mcr Hmo | $10 | 19% |
| Wps Mvh Vapc3 | $10 | 19% |
| Vantage Health Plan Inc | $13 | 24% |
| Sedgwick Claims Mgmt Serv | $22 - $134 | 41% |
| Workman'S Comp | $22 - $134 | 41% |
| Commercial Insurance | $59 - $148 | 111% |
| Meritain Health | $59 - $96 | 111% |
| Coventry Healthcare | $89 | 167% |
| Geha | $104 | 195% |
| Health Plus Of La | $104 - $111 | 195% |
| Apwu Healthplan | $111 | 208% |
| Great West Healthcare | $111 | 208% |
| Phcs | $119 | 224% |
| Ppo Plus | $119 | 224% |
| Aarp | $148 | 278% |
| Accordia National | $148 | 278% |
| Aflac | $148 | 278% |
| Alameda Alliance Forhealt | $148 | 278% |
| American Pioneer | $148 | 278% |
| Benefit Management | $148 | 278% |
| Benesys Inc | $148 | 278% |
| Business Guarantor | $148 | 278% |
| Chubb | $148 | 278% |
| Commercial Sr. Care | $148 | 278% |
| Employee Benefit Services | $148 | 278% |
| Family Life Insurance Co | $148 | 278% |
| Farm Bureau Insurance | $148 | 278% |
| Fiserv Health Benefit | $148 | 278% |
| Gmp | $148 | 278% |
| Group And Pension Admin | $148 | 278% |
| Group Resources | $148 | 278% |
| Haik Minvielle And Grubbs | $148 | 278% |
| Harrington Benefit Svs | $148 | 278% |
| Health Design Plus | $148 | 278% |
| Health Plan | $148 | 278% |
| Healthscope Benefits | $148 | 278% |
| Insurance Management Admi | $148 | 278% |
| Jefferson National | $148 | 278% |
| John Alden Health Ins | $148 | 278% |
| John Hancock | $148 | 278% |
| Liberty Mutual | $148 | 278% |
| Mailhandlers Benefit Plan | $148 | 278% |
| Manhattan Life Ins Co | $148 | 278% |
| Mega Life And Health | $148 | 278% |
| Msa Careguard | $148 | 278% |
| Mutual Of Omaha | $148 | 278% |
| Nalc Health Benefit Plan | $148 | 278% |
| Naphcare Inc. | $148 | 278% |
| New Era Life Ins Co | $148 | 278% |
| Physicians Mutual | $148 | 278% |
| Principal Financial Group | $148 | 278% |
| Prudential Healthcare | $148 | 278% |
| Self Pay | $148 | 278% |
| State Farm | $148 | 278% |
| State Farm Insurance | $148 | 278% |
| State Mutual Insurance Co | $148 | 278% |
| Sterling Investors Life | $148 | 278% |
| Tower Life | $148 | 278% |
| Transamerica Premier Ins | $148 | 278% |
| United American | $148 | 278% |
| United Comm Travelers | $148 | 278% |
| United Teachers | $148 | 278% |
| Usable Administrator | $148 | 278% |
| Visn 16 Cfu | $148 | 278% |
| Wausau Benefits | $148 | 278% |
| Webtpa | $148 | 278% |
| Wells Fargo | $148 | 278% |
| Woodmen Of The World | $148 | 278% |