CMS Price Transparency Data

Hepatitis C antibody test

Facility: Lake Charles Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Lake Charles Memorial Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$113

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: $113 (792%)
Insurance Median: $15 (105%)
Cash: $113 (792% 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
Aetna $14 - $51 98%
Blue Cross Blue Shield $14 98%
Champus_Va $14 98%
Cigna $14 - $141 98%
Medicaid / KanCare $14 98%
Medicare (plans) $14 98%
Tricare $14 98%
Veterans_Administration $14 98%
Veterans_Choice-Triwest $14 98%
Humana $15 - $50 105%
United_Healthcare $16 112%
Coushatta_Tribe_Dept_Of_Health $26 182%
Vantage_Commercial $33 231%
Blue_Cross_Blue_Shield_La $36 252%
Meritain $85 596%
Verity $90 631%
Ppo_Plus_ $113 792%
Phcs $132 925%
United_Healthcare_Behavorial_Health $132 925%
Lwcc $144 1009%
First_Health $150 1051%
Workers_Compensation $169 1184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals