CMS Price Transparency Data

Hepatitis C antibody test

Facility: Dukes Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $62
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 4.34x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Dukes Memorial Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 4.34x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $105 (736%)
Insurance Median: $62 (434%)
Cash: $105 (736% of Medicare)
Ins. Median: $62 (434% 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 434% of the Medicare baseline (a markup of 334%). 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 $6 - $108 42%
Aetna $10 - $161 70%
Department Of Veterans Affairs $10 - $63 70%
Humana $10 - $66 70%
Iu Health Plan $10 - $66 70%
Managed Health Services $10 - $135 70%
Medicare (plans) $10 - $66 70%
Node Devoted Health Mcr Adv $10 - $68 70%
Node Va $10 - $163 70%
Tricare $10 - $63 70%
UnitedHealthcare $10 - $166 70%
In Dept Of Correction $11 - $70 77%
Miami County Sheriffs Department $11 - $70 77%
Node Pphp Mcr Adv $11 - $71 77%
Caresource $14 98%
Medicaid / KanCare $14 98%
Mhs $14 98%
Veterans Eval Services $14 98%
Lutheran Advanced Network $16 - $101 112%
Lutheran Three Rivers Preferred Plus 150 $16 - $101 112%
Node Lutheran Preferred Fixed 2 $16 - $101 112%
Align Network $17 - $108 119%
Lutheran Preferred $17 - $270 119%
Lutheran Three Rivers Preferred Plus 175 $18 - $118 126%
Us Department Of Labor $18 126%
Encore Work Comp In $19 - $122 133%
Prime Health Services $19 - $254 133%
Partners Direct Health Llc $20 - $128 140%
Lutheran Northwest Health Preferred $21 - $135 147%
Physicians Health Plan $21 - $158 147%
Three Rivers Preferred Plus $21 - $135 147%
Work Comp $21 - $135 147%
Cigna $22 - $338 154%
Three Rivers Preferred $23 - $152 161%
Php Freedom $24 - $156 168%
Encore Kba Epo $25 - $162 175%
Amish Aid $26 - $169 182%
Encore Ppo $26 - $169 182%
Self Pay $26 - $186 182%
Sagamore Health Network $29 - $187 203%
Encore Kba Ppo $31 - $203 217%
Consumer Life $32 - $210 224%
First Health $42 - $270 294%
Multiplan $42 - $274 294%
Advantage Health Solutions $43 - $281 301%
Encore Health Network $43 - $277 301%
Encore $47 - $304 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals