CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ochsner Lafayette General Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ochsner Lafayette General Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.
Cash / Self-Pay
$38

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: $38 (266%)
Insurance Median: $14 (98%)
Cash: $38 (266% 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
Aetna $14 - $98 98%
Amerihealth Caritas Louisiana (Healthy Louisiana) $14 98%
Blue Cross Blue Shield $14 - $36 98%
Cigna $14 - $16 98%
Healthy Blue (Healthy Louisiana) $14 98%
Healthy Blue Dual Advantage (Hmo-D-Snp) $14 98%
Humana $14 98%
Louisiana Healthcare Connections (Healthy Louisiana) $14 98%
Medicare (plans) $14 98%
Ochsner Health Plan $14 98%
Tricare $14 98%
UnitedHealthcare $14 98%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $15 105%
Wellcare Of Louisiana $15 105%
Verity Commercial And First Choice Network $97 680%
Zelis $107 750%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1214 Coolidge Avenue, Lafayette, LA 70503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals