CMS Price Transparency Data

Hepatitis C antibody test

Facility: Northern Louisiana Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $458
  • Cash Discount Price: $360
  • vs. Medicare Baseline: 32.10x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Northern Louisiana Medical Center is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 32.10x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$360

Average discount available for prompt cash payment at this facility.

Insurance Median
$458

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: $360 (2523%)
Insurance Median: $458 (3210%)
Cash: $360 (2523% of Medicare)
Ins. Median: $458 (3210% 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 3210% of the Medicare baseline (a markup of 3110%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Champus $11 77%
Champva $11 77%
Tricare $11 - $14 77%
Golden Rule Ins $12 - $393 84%
UnitedHealthcare $12 - $393 84%
Aetna $14 - $393 98%
Blue Cross Blue Shield $14 - $94 98%
Gulf South Services $14 98%
Humana $14 - $103 98%
Medicaid / KanCare $14 - $654 98%
Medicare (plans) $14 98%
Mutual Of Omaha $14 98%
Va $14 98%
Vantage Advantage $14 98%
Veterans Evaluation Svcs $14 98%
Vantage Health Plan Ppaca $27 189%
Vantage Health Plan $29 203%
First Health $30 - $556 210%
Verity Healthnet $321 2249%
Cigna $327 2292%
Kaiser Permanente $327 2292%
Gilsbar $360 2523%
Self Pay $360 2523%
Geha $524 - $622 3672%
Multiplan $556 3896%
Phcs $556 3896%
Work Comp City Of Ruston $589 4128%
Work Comp First Health $589 4128%
Work Comp Nlmc Emp $589 4128%
Workers Compensation $589 4128%
Aarp $654 4583%
Aflc American Family Life $654 4583%
American Life Accident $654 4583%
Apwu Health Plan $654 4583%
Bankers Life And Casualty $654 4583%
Benefit Trust Life $654 4583%
Crime Victims Compensatio $654 4583%
Equitable $654 4583%
Fox Everett Inc $654 4583%
Gmp Employers Retiree Tru $654 4583%
Gsu Athletics $654 4583%
Guarantee Trust Life Ins $654 4583%
Healthfirst Tpa $654 4583%
Hospice Of Caring Hearts $654 4583%
Ima Insurance $654 4583%
Industrial Accounts $654 4583%
Liberty Healthshare $654 4583%
Liberty Mutual Group $654 4583%
Lifecare Specialty Hosp $654 4583%
Lin Parish Detention $654 4583%
Lincoln Kidney Center $654 4583%
Ltu Athletics $654 4583%
Ltu Student Ins Bollinger $654 4583%
Mcr American Hlth Adv $654 4583%
Misc Commercial $654 4583%
Mva Insurance Payors $654 4583%
Nalc Health Benefit Plan $654 4583%
Nalc Natl Assoc Ltr Carri $654 4583%
Newera $654 4583%
Nlmc Community Services $654 4583%
Physicians Mutual Ins $654 4583%
Premier Hospice $654 4583%
Principal Mutual Life Ins $654 4583%
Protective Life Ins $654 4583%
Ruston Regional Specialty $654 4583%
Specialty Hosp Of Winnfie $654 4583%
State Farm Insurance $654 4583%
State Mutual Ins $654 4583%
Sterling Investors Life $654 4583%
The Hartford $654 4583%
Union Bankers Insurance C $654 4583%
Union Fidelity Life Ins $654 4583%
United American $654 4583%
United Teachers Ins $654 4583%
Us Dept Of Labor $654 4583%
Washington National Ins $654 4583%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals