CMS Price Transparency Data

Blood antibody screen

Facility: Gundersen Lutheran Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $53
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Gundersen Lutheran Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.00x the Medicare baseline. Located in 1910 South Ave, La Crosse, WI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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%)
Insurance Median: $53 (100%)
Ins. Median: $53 (100% 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
Blue Cross Blue Shield $2 - $110 4%
Group Health Eau Claire $2 4%
Group Health Of South Central $2 4%
Icare $2 - $53 4%
Iowa Total Care $2 4%
Managed Health Service $2 4%
UnitedHealthcare $2 - $53 4%
Medical Associates $11 - $53 21%
Amerigroup $52 - $53 98%
Health Partners $52 98%
Molina Health $52 98%
Ucare $52 - $56 98%
Aetna $53 100%
Alliance $141 - $156 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals