CMS Price Transparency Data

Blood antibody screen

Facility: Bienville Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $104
Cash Discount Price: $116
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Bienville Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.95x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $116 (218%)

Insurance Median: $104 (195%)

Cash: $116 (218% of Medicare)

Ins. Median: $104 (195% 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 - $192	13%
Humana	$7 - $124	13%
Medicaid / KanCare	$7 - $11	13%
Mmd Amerihealth Caritas	$7 - $11	13%
Mmd Healthy Blue	$7 - $11	13%
Mmd La Hlth Conn	$7 - $11	13%
Mmd Misc	$7 - $11	13%
UnitedHealthcare	$7 - $104	13%
Ambetter / Centene	$10 - $104	19%
Mcr American Hlth Adv	$10 - $104	19%
Medicare (plans)	$10 - $104	19%
Misc Mgd Care	$10 - $192	19%
Mmc Blue Advantage	$10 - $104	19%
Mmc Misc	$10 - $104	19%
Peoples Health Mcr Adv	$10 - $104	19%
Va Health	$10 - $104	19%
Cashiering	$77 - $116	145%
Cigna	$96	180%
Blue Cross Blue Shield	$116	218%
Wc City Of Arcadia	$173	325%
Wc House Of Raeford	$173	325%
Wc Misc	$173	325%
Wc Stonetrust	$173	325%
Aarp	$192	361%
Allegiance Health Managme	$192	361%
Amfirst	$192	361%
Apwu	$192	361%
Liberty Mutual	$192	361%
Misc Comm A-L	$192	361%
Misc Comm M-Z	$192	361%
Tricare	$192	361%

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 $116.
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 Bienville 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.