CMS Price Transparency Data

Hepatitis C antibody test

Facility: Terrebonne General Medical Center - Parish

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Terrebonne General Medical Center - Parish is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$58

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: $58 (406%)
Insurance Median: $15 (105%)
Cash: $58 (406% 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
Blue Cross Blue Shield $14 - $36 98%
Champ Va $14 98%
Dept Of Veterans Affairs $14 98%
Humana $14 - $43 98%
Medicaid / KanCare $14 98%
Medicare (plans) $14 98%
Tricare $14 98%
UnitedHealthcare $14 98%
Aetna $15 - $67 105%
Amerihealth $15 105%
Amg $15 105%
Vantage Health Plan $36 252%
Ppoplus $37 259%
Gilsbar 360 $41 287%
Verity Health $44 308%
Multiplan Inc $51 357%
Cigna $52 364%
Coventry Health Of Louisiana $62 434%
Workers Comp $78 547%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals