CMS Price Transparency Data

Hepatitis C antibody test

Facility: Murray-Calloway County Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $32
Cash Discount Price: $196
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Murray-Calloway County Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 2.24x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $196 (1374%)

Insurance Median: $32 (224%)

Cash: $196 (1374% of Medicare)

Ins. Median: $32 (224% 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 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$14	98%
Blue Cross Blue Shield	$14 - $209	98%
Bluegrass - All Plans	$14	98%
Humana	$14 - $204	98%
Medicaid / KanCare	$14	98%
Passport Health - All Plans	$14	98%
Tricare	$14	98%
Triwest - All Plans	$14	98%
Wellcare Mcr Adv	$15	105%
Wellcare Health Plan Inc	$16	112%
Medben Mcch Employees	$24	168%
Ambetter / Centene	$28	196%
Health Cost Solutions - All Plans	$36	252%
Coventry Cares Of Ky - All Plans	$43	301%
Occunet - All Plans	$43	301%
UnitedHealthcare	$155	1086%
Medben City Of Murray - All Other Plans	$181	1268%
Center Care - All Plans	$217	1521%
Three Rivers - All Plans	$242	1696%
First Health - All Plans	$272	1906%
Healthsmart - All Plans	$272	1906%
Multiplan - All Plans	$272	1906%
Corvel Corporation - All Plans	$302	2116%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Murray-Calloway County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.