CMS Price Transparency Data

Hepatitis C antibody test

Facility: Deaconess Hospital Inc

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Deaconess Hospital Inc is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $43 (301%)
Insurance Median: $14 (98%)
Cash: $43 (301% of Medicare)
Ins. Median: $14 (98% 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 $6 - $14 42%
Humana $8 - $26 56%
United Behavioral Health $9 63%
UnitedHealthcare $9 - $21 63%
Mhnet $11 77%
Aetna $14 - $26 98%
Alliance Coal $14 - $15 98%
Ambetter / Centene $14 - $21 98%
Caresource In $14 98%
Center Care Narrow Select $14 - $15 98%
Center Care Open Access $14 - $15 98%
Deaconess Onecare $14 - $19 98%
Encircle/Encore Combined $14 - $22 98%
Encircle/Encore Elite+ $14 - $22 98%
Encircle/Encore Prime $14 - $22 98%
Iu Health Network $14 - $19 98%
Medicaid / KanCare $14 98%
Medicare (plans) $14 98%
Meridiancare (Il) $14 98%
Meridiancomplete (Il) $14 98%
Meridianhealth (Il) $14 98%
Molina (Il) Mmai $14 98%
Molina Il $14 98%
Mytru Advantage $14 98%
Patoka Valley Health Care (80/20 Plan) $14 98%
Patoka Valley Health Care (90/10 Plan) $14 98%
Triwest Vapc3 $14 98%
Wellcare (Il) Mmai $14 98%
Youthcare (Meridian Il) $14 98%
Youthcare (Wellcare Il) $14 98%
Caresource In Marketplace $19 - $21 133%
Allied National $20 - $34 140%
Claimdoc $20 - $34 140%
Healthscope $20 - $34 140%
Hopetrust $20 - $21 140%
Hstechnology $20 - $21 140%
Noncontracted $23 161%
Naphcare $24 168%
Cigna $26 182%
Claritev (Formerly Phcs Multiplan) $26 182%
First Health $26 182%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $26 182%
Ky Racing Health & Welfare Fund $43 301%
Self-Pay $43 301%
Chamber Care $74 519%
Parkview Signature Care $84 589%
Healthlink $93 - $105 652%
National Rural Electric $109 764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals