CMS Price Transparency Data

Hepatitis C antibody test

Facility: Deaconess Henderson Hospital

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 Henderson Hospital 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 1305 N Elm St, Henderson, KY.
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 $9 - $14 63%
UnitedHealthcare $9 - $17 63%
Humana $13 - $14 91%
Aetna $14 - $26 98%
Alliance Coal $14 - $15 98%
Caresource In $14 98%
Center Care Narrow $14 - $15 98%
Center Care Open Access $14 - $15 98%
Encircle/Encore Combined $14 - $22 98%
Encircle/Encore Prime $14 - $22 98%
Iu Health Plans $14 - $26 98%
Medicaid / KanCare $14 98%
Medicare (plans) $14 98%
Mhs Mco $14 98%
Molina Healthcare Of Ky $14 98%
Molina Healthcare Of Ky - Exchange $14 98%
Mytru Advantage $14 98%
One Care $14 98%
Umwa $14 98%
Wellcare Il $14 98%
Wellcare Ky $14 - $17 98%
Caresource In Marketplace $19 - $21 133%
Wellcare Ky Commercial Exchange $19 - $29 133%
Hopetrust $20 - $74 140%
Hstechnology $20 - $74 140%
Amish And Mennonite Of Western Ky $21 - $81 147%
Noncontracted $23 161%
First Health Network (Coventry) $26 182%
Healthlink $26 182%
Phcs/Multiplan $26 182%
Sagamore $26 182%
Claimdoc $34 - $74 238%
Ky Racing Health & Welfare Fund $43 301%
Self-Pay $43 301%
Cigna $74 519%
Coventry National Network $99 694%
Webster County Detention Center $99 694%
Henderson County Detention Center $112 785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals