CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner Medical Center-Kenner

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $56
Cash Discount Price: $37
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner Medical Center-Kenner is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.05x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $37 (69%)

Insurance Median: $56 (105%)

Cash: $37 (69% of Medicare)

Ins. Median: $56 (105% 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
Blue Cross Blue Shield	$6 - $49	11%
Aetna	$7 - $55	13%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$7	13%
Healthy Blue (Healthy Louisiana)	$7	13%
Humana	$7 - $49	13%
Louisiana Healthcare Connections (Healthy Louisiana)	$7	13%
UnitedHealthcare	$7 - $49	13%
Medicaid / KanCare	$40 - $42	75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$47	88%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$49	92%
Medicare (plans)	$49	92%
Ochsner Health Plan	$49	92%
Tricare	$49	92%
Wellcare Of Louisiana	$51	96%
Zelis	$57 - $73	107%
Healthcomp & Personify Health (Formerly Gilsbar)	$62 - $80	116%
Claritev D/B/A Multiplan/Phcs/American Life Care	$67 - $86	126%
First Health Network	$77 - $100	145%
Louisiana Workers' Compensation Corporation (Lwcc)	$77 - $100	145%
Mississippi Physicians Care Network	$77 - $100	145%
Galaxy Health Network Ppo	$82 - $106	154%
Galaxy Health Network Wc	$82 - $106	154%
Cigna	$88 - $114	165%
Employers Health Network (Ehn)	$88 - $113	165%
Prime Health Services Ppo	$88 - $113	165%
Usa Managed Care Network	$88 - $113	165%

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 $37.
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 Ochsner Medical Center-Kenner 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.