CMS Price Transparency Data

Blood antibody screen

Facility: Mercy Regional Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $78
Cash Discount Price: $42
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Mercy Regional Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.47x the Medicare baseline. Located in 800 E Main, Ville Platte, LA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $42 (79%)

Insurance Median: $78 (147%)

Cash: $42 (79% of Medicare)

Ins. Median: $78 (147% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $17	13%
Mcd Hmo Amerigroup	$7 - $17	13%
Mcd Hmo Com Hlth Solution	$7 - $18	13%
Mcd Hmo La Care	$7 - $17	13%
Mcd Hmo La Hlth Cr Connct	$7 - $17	13%
Medicaid / KanCare	$7 - $138	13%
UnitedHealthcare	$7 - $17	13%
Medicare (plans)	$10 - $138	19%
Pp0/Manged Care	$10 - $138	19%
Tricare	$10 - $138	19%
Ppo/Manged Care	$13 - $138	24%
Blue Cross Blue Shield	$19	36%
Charity/Map	$42 - $138	79%
American Postal Workers	$111	208%
Work Comp	$125	235%
Commerical	$138	259%
Commerical Ip	$138	259%
Mcr American Hlth Adv	$138	259%
Mra Auto/Liability	$138	259%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $42.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86850.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86850.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.