CMS Price Transparency Data

Hepatitis C antibody test

Facility: Crestwood Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $16
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Crestwood Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.12x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $47 (329%)
Insurance Median: $16 (112%)
Cash: $47 (329% of Medicare)
Ins. Median: $16 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 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
Cigna $9 - $14 63%
Medicaid / KanCare $10 70%
Blue Cross Blue Shield $11 - $16 77%
Node Champva $12 84%
Tricare $12 84%
UnitedHealthcare $13 - $14 91%
Aetna $14 - $16 98%
Alacare Hospice $14 98%
Hospice $14 98%
Humana $14 98%
Medicare (plans) $14 98%
Node Clover Health Mcr Adv $14 98%
Node Devoted Health Mcr Adv $14 98%
Node Select Health Mcr Adv $14 98%
Node Va $14 98%
Node Windsor Mcr Adv $14 98%
Veterans Eval Services $14 98%
Viva Health $14 98%
Node Prime Health Mcr Adv $15 105%
Node Wellcare Mcr Adv $15 105%
Node Us Dept Of Labor $18 126%
Occunet $18 126%
Ambetter / Centene $21 147%
Self Pay $44 - $51 308%
American Employee Alliance $97 680%
Wc Hart & Cooley $97 680%
Alamed $121 848%
Wc Acs Compiq Xerox $150 1051%
Fortified $168 - $194 1177%
Core Choice $170 - $178 1191%
Prime Health $170 - $187 1191%
Coventry $172 1205%
Rockport $174 1219%
America'S Choice $178 - $194 1247%
Novanet $178 - $182 1247%
Wc Al $187 1310%
Multiplan $206 1444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals