CMS Price Transparency Data

Hepatitis C antibody test

Facility: Winn Parish Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $59
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 4.13x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Winn Parish Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 4.13x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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: $56 (392%)
Insurance Median: $59 (413%)
Cash: $56 (392% of Medicare)
Ins. Median: $59 (413% 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 413% of the Medicare baseline (a markup of 313%). 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
Aetna $14 - $187 98%
Ambetter / Centene $14 98%
Blue Advantage $14 98%
Champva $14 98%
Gulf South Risk Services $14 98%
Healthy Blue Dual Adv $14 98%
Hospice Misc $14 98%
Humana $14 - $118 98%
Mcr Lagniappe $14 98%
Medicaid / KanCare $14 - $65 98%
Medicare (plans) $14 - $26 98%
Peoples Health $14 98%
Snf Autumn Leaves $14 98%
Snf Miscellaneous $14 98%
Snf Winnfield Nsg & Rehab $14 98%
Tricare $14 98%
Triwest $14 98%
UnitedHealthcare $14 - $59 98%
Wellcare $14 - $59 98%
Aarp $18 126%
Golden Rule $18 126%
Blue Cross Blue Shield $26 182%
First Health Ppo $32 224%
Web Tpa $32 224%
Self Pay $56 392%
Ima $94 659%
Multiplan Ppo $99 - $118 694%
Cigna $102 - $105 715%
Natl Assoc Of Letter Carr $102 - $187 715%
Ppoplus $112 785%
Zelis $112 785%
La Workers Comp Corp $168 1177%
Workman'S Comp Op $168 1177%
Aflac $187 1310%
American Health Advantage $187 1310%
American Retirement $187 1310%
Amfirst $187 1310%
Apwu Health Plan $187 1310%
Attorney Claim $187 1310%
Bankers Fidelity $187 1310%
Commercial Miscellaneous $187 1310%
Correct Care Integrated $187 1310%
Fox Everett $187 1310%
Gilsbar $187 1310%
Guarantee Trust Life $187 1310%
Heart Of Hospice $187 1310%
Hospice Compassus $187 1310%
Legacy Hospice $187 1310%
Liberty Mutual $187 1310%
Medico Insurance Company $187 1310%
Meritain Health $187 1310%
Miscellaneous $187 1310%
Mutual Of Omaha $187 1310%
New Era Life Ins $187 1310%
Phcs $187 1310%
Philadephia American $187 1310%
Physicians Mutual $187 1310%
Pipeline Ind Benefit Fund $187 1310%
Rural Carrier Benefit $187 1310%
Sentinel Security Life $187 1310%
State Farm $187 1310%
United American Ins $187 1310%
United Of Omaha Life Ins $187 1310%
Usaa Life Ins Co $187 1310%
World Insurance Company $187 1310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals