CMS Price Transparency Data

Hepatitis C antibody test

Facility: Lawrence Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $23
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Lawrence Memorial Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.61x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $26 (182%)
Insurance Median: $23 (161%)
Cash: $26 (182% of Medicare)
Ins. Median: $23 (161% 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
Blue Cross Blue Shield $2 - $24 14%
Ambetter / Centene $14 - $31 98%
Amerigroup $14 - $24 98%
Cigna $14 - $24 98%
Humana $14 - $24 98%
Allwell $15 - $25 105%
Wellcare $15 - $42 105%
Qualchoice $16 - $31 112%
Arkansas Total Care $20 140%
Caresource $21 - $47 147%
Empower Healthcare Solutions $21 147%
Arkansas Superior Select $23 161%
Provider Partners Health Plans $23 161%
Wellcare By Allwell $23 161%
Wellcare Health Plans $23 161%
Qualchoice Of Arkansas $29 203%
Aetna $34 238%
Assured Benefits Administrators $36 252%
Healthlink $39 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1309 West Main Street, Walnut Ridge, AR 72476
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals