CMS Price Transparency Data

Hepatitis C antibody test

Facility: The Women's Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at The Women's Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $221 (1549%)
Insurance Median: $15 (105%)
Cash: $221 (1549% of Medicare)
Ins. Median: $15 (105% 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
Amish $6 - $43 42%
Blue Cross Blue Shield $6 - $15 42%
UnitedHealthcare $9 - $300 63%
Aetna $14 - $86 98%
Caresource $14 98%
Caresource Hip $14 98%
Caresource In $14 98%
Chamber Care $14 - $74 98%
Humana $14 98%
Iu Health $14 - $188 98%
Mdwise Hip $14 98%
Meridian Health Il $14 98%
Mhs $14 98%
Mhs Behavioral $14 98%
Molina Il $14 98%
Molina Ky $14 98%
Molina Ky Dual $14 98%
Passport Molina Ky $14 - $86 98%
Patoka Valley Health Care (80/20 Plan) $14 98%
Patoka Valley Health Care (90/10 Plan) $14 98%
Wellcare Ky $14 - $86 98%
Alliance Coal $15 - $260 105%
Ambetter / Centene $16 - $22 112%
Caresource Marketplace (Just4Me) $19 - $21 133%
Hst $19 - $21 133%
One Care $19 - $263 133%
Allied National/Zelis - Freedom Plan $20 - $35 140%
Claimdoc $21 147%
Encorecombined $22 - $263 154%
Encoreprime $22 - $255 154%
Hope Trust $23 - $24 161%
Noncontracted $23 161%
Cigna $26 - $270 182%
Claritev (Formerly Phcs/Mulitplan) $26 - $259 182%
First Health/Coventry $26 - $278 182%
Healthlink $26 - $319 182%
Sagamore $26 - $270 182%
Self Pay $43 - $221 301%
Center Care $74 - $293 519%
Immergrun $157 1100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals