CMS Price Transparency Data

Blood antibody screen

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $48
Cash Discount Price: $62
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Surgical Specialty Center of Baton Rouge is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.90x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $62 (116%)

Insurance Median: $48 (90%)

Cash: $62 (116% of Medicare)

Ins. Median: $48 (90% 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
Verity	$4	8%
Uhc_Commcoffee	$6	11%
Aetna	$8 - $49	15%
Amerihealth	$8	15%
Healthy_Blue	$8	15%
Humana	$8 - $71	15%
Lhc	$8	15%
Medicaid / KanCare	$8	15%
United_Caid	$8	15%
Blue Cross Blue Shield	$10 - $47	19%
United	$10	19%
Gilsbar	$40	75%
Cigna	$46	86%
Medadv-Peoples	$47	88%
Medicare (plans)	$47	88%
Tricare	$47	88%
UnitedHealthcare	$47	88%
Lsufirst	$48	90%
Va	$48	90%
Multiplan-Pos	$49	92%
Multiplan-Ppo	$49	92%
Ppoplus	$50	94%
Wellcare	$50	94%
Stjude	$53	100%
Bayou-Med	$57	107%
Dma	$57	107%
Lsu	$57	107%
Southern-Univ	$57	107%
Womans_Hosp	$57	107%
Reny	$62	116%
Ehn	$66	124%
Lucent	$66	124%
Workcomp_3R	$66	124%
Three_Rivers	$70	131%
Workcomp_Strat	$70	131%
Geha	$72	135%
Workcomp_Fp	$74	139%
Usa_Mco	$77	145%
Ambetter / Centene	$98	184%
Workcomp_Saints	$109	205%

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 $62.
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 Surgical Specialty Center of Baton Rouge 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.