CMS Price Transparency Data

Blood antibody screen

Facility: Lafollette Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $51
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Lafollette Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.96x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $138 (259%)
Insurance Median: $51 (96%)
Cash: $138 (259% of Medicare)
Ins. Median: $51 (96% 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.

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 $10 - $286 19%
Humana $10 - $50 19%
Medicaid / KanCare $10 - $15 19%
UnitedHealthcare $10 - $459 19%
Veterans Eval Services $10 19%
Wellcare $10 19%
Blue Cross Blue Shield $21 - $80 39%
Bluecare $21 - $24 39%
Amerigroup $35 66%
Tricare $46 86%
Node Champva $49 92%
Medicare (plans) $50 94%
Node Bluecare Plus Tn Mcr Adv $50 94%
Triwest $50 94%
Node Blueadvantage Mcr Adv $51 96%
Node Devoted Health Mcr Adv $51 96%
Node Farm Bureau Mcr Adv $51 96%
Node Healthspring Mcr Adv $51 96%
Node Hospice Non Par Agree $51 96%
Node Va $51 96%
Node Wellcare Mcr Adv $51 96%
Node Amerigroup Mcr Adv $52 98%
Windsor Health Plan $52 98%
Node Nhc Mcr Adv $55 103%
Node Us Dept Of Labor $63 118%
Novanet Work Comp Tn $79 148%
Tn Work Comp $80 150%
Ambetter / Centene $94 177%
Node Point Comfort Underwriters $111 208%
Self Pay $132 248%
Cigna $188 353%
Multiplan Complementary $349 656%
Beech Street Work Comp Tn $7,906 14850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals