CMS Price Transparency Data

Blood antibody screen

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86850
Insurance Median: $54
Cash Discount Price: $61
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood antibody screen at Ochsner Stennis Memorial Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.01x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $61 (115%)

Insurance Median: $54 (101%)

Cash: $61 (115% of Medicare)

Ins. Median: $54 (101% 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	$4 - $71	8%
Cigna	$10 - $84	19%
Humana	$10 - $84	19%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$10 - $85	19%
Medicaid / KanCare	$10 - $42	19%
Medicare (plans)	$10 - $97	19%
Primewell Health Services Commercial Exchange Plan	$10 - $94	19%
Primewell Health Services – Commercial	$10 - $94	19%
Shared Health Mississippi	$10 - $88	19%
Prime Health Services Ppo	$11 - $112	21%
Blue Cross Blue Shield	$13 - $136	24%
Ambetter / Centene	$14 - $85	26%
Cor Vel	$15 - $70	28%
Prime Health Services Ppo -Workers Comp	$15 - $69	28%
Aetna	$18 - $91	34%
Claritev D/B/A Multiplan/Phcs/American Life Care	$20 - $105	38%
Select Administrative Services Network	$25 - $98	47%
Zelis	$31 - $105	58%

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 $61.
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 Stennis Memorial Hospital 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.