CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ochsner Choctaw General

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $20
Cash Discount Price: $22
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ochsner Choctaw General is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.40x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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: $22 (154%)

Insurance Median: $20 (140%)

Cash: $22 (154% of Medicare)

Ins. Median: $20 (140% 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.

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	$6 - $50	42%
Humana	$11 - $40	77%
Ambetter / Centene	$13 - $41	91%
Blue Cross Blue Shield	$13 - $32	91%
Cigna	$13 - $50	91%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$13 - $40	91%
Medicaid / KanCare	$13 - $14	91%
Medicare (plans)	$13 - $47	91%
Primewell Health Services Commercial Exchange Plan	$14 - $60	98%
Primewell Health Services – Commercial	$14 - $60	98%
Shared Health Mississippi	$14 - $43	98%
Prime Health Services Ppo	$16 - $72	112%
Aetna	$19 - $58	133%
Select Administrative Services Network	$20 - $63	140%
Claritev D/B/A Multiplan/Phcs/American Life Care	$22 - $68	154%
Zelis	$22 - $68	154%
Prime Health Services Ppo -Workers Comp	$23 - $72	161%
Cor Vel	$24 - $73	168%

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 $22.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
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.