CMS Price Transparency Data

Blood antibody screen

Facility: Bayou Bend Health System

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $87
Cash Discount Price: $86
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Bayou Bend Health System is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.63x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $86 (162%)

Insurance Median: $87 (163%)

Cash: $86 (162% of Medicare)

Ins. Median: $87 (163% 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
UnitedHealthcare	$9 - $153	17%
Blue Cross Blue Shield	$11 - $215	21%
Tricare	$46 - $138	86%
Aetna	$51 - $208	96%
Dignity Mcr Adv Ip/Op Only-All Plans	$51 - $153	96%
Humana	$51 - $199	96%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$51 - $153	96%
Verity Healthnet Mcr Adv Ip/Op Only	$51 - $153	96%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$51 - $153	96%
Ambetter / Centene	$59 - $176	111%
Cigna	$71 - $214	133%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$72 - $215	135%
La Health Mcaid Ip/Op Only	$72 - $215	135%
Verity Healthnet Mcaid Ip/Op Only	$72 - $215	135%
Diocese Of Lafaytte Ip/Op Only-All Plans	$76 - $230	143%
Gilsbar 360 Ip/Op Only-All Plans	$76 - $230	143%
Verity Healthnet Ip/Op Only-All Other Plans	$76 - $230	143%
Ccn/First Health Ip/Op Only-All Plans	$82 - $245	154%
Integrated Hp Multiplan Ip/Op Only-All Plans	$82 - $245	154%
Ppo Plus / Zelis Ip/Op Only-All Plans	$82 - $245	154%
Geha Ppo Ip/Op Only-All Plans	$87 - $260	163%
Usa Mco Ip/Op Only-All Plans	$87 - $260	163%
Galaxy Ip/Op Only-All Plans	$92 - $275	173%

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 $86.
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 Bayou Bend Health System 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.