CMS Price Transparency Data

Hepatitis C antibody test

Facility: Hancock Regional Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $202
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 14.16x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Hancock Regional Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 14.16x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $202 (1416%)
Insurance Median: $202 (1416%)
Cash: $202 (1416% of Medicare)
Ins. Median: $202 (1416% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1416% of the Medicare baseline (a markup of 1316%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $14 - $188 98%
Iu Health Mcr Adv $14 98%
Mhs/Mdwise Mcaid-All Plans $14 98%
Triwest - All Plans $14 98%
UnitedHealthcare $14 - $195 98%
Va Ccn - All Plans $14 98%
Allwell Mcr Adv - All Plans $15 105%
Beech Street Mcr Adv $15 105%
Caresource Mcr Adv $15 105%
Communicare Mcr Adv - All Plans $15 105%
Humana $15 - $239 105%
Ambetter / Centene $29 203%
Caresource Comm - All Other Plans $36 252%
Iu Health-All Other Plans $39 273%
Ascension - All Plans $189 1324%
Aetna $192 - $252 1345%
Cigna $202 1416%
Encore Encircle $202 1416%
Hancock Phys Network-All Plans $202 1416%
Unified Group Services- All Plans $202 1416%
Advantage Self Funded Ppo-All Other Plans $207 1451%
Healthmark/Healthchoice-All Plans $207 1451%
Sagamore-All Plans $207 1451%
Encore-All Other Plans $214 1500%
Consumers Life-All Plans $222 1556%
St Vincent Cmo-All Plans $222 1556%
Siho-All Plans $227 1591%
Great West-All Plans $232 1626%
Savility - All Plans $232 1626%
Cofinity/Ppom - All Plans $234 1640%
First Health/Coventry-All Plans $237 1661%
Mail Handlers-All Plans $237 1661%
Golden Rule Ins-All Plans $239 1675%
Indiana Health Network-All Plans $239 1675%
Phcs-All Plans $239 1675%
Beech Street Ppo - All Other Plans $242 1696%
Comm Hlth Alliance - All Plans $244 1710%
Multiplan-All Plans $247 1731%
Advantage Preferred Plus $252 1766%
Healthy Indiana Plan-All Plans $252 1766%
Copps - All Plans $519 3637%
Pro Health - All Plans $756 5298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals