CMS Price Transparency Data
Hepatitis C antibody test
Facility: Avoyelles Hospital
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $162
- Cash Discount Price: $81
- vs. Medicare Baseline: 11.35x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Avoyelles Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 11.35x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$81
Average discount available for prompt cash payment at this facility.
Insurance Median
$162
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: $81 (568%)
Insurance Median: $162 (1135%)
Cash: $81 (568% of Medicare)
Ins. Median: $162 (1135% 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 1135% of the Medicare baseline (a markup of 1035%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $152 | 98% |
| Bankers Life | $14 | 98% |
| Champva | $14 | 98% |
| Cigna | $14 - $153 | 98% |
| Correct Cr Int Hlt | $14 - $56 | 98% |
| Humana | $14 - $153 | 98% |
| Mcd Amerihealth Caritas | $14 - $56 | 98% |
| Mcd Healthy Blue | $14 - $56 | 98% |
| Mcd La Hc Conn | $14 - $56 | 98% |
| Mcr Lagniappe | $14 | 98% |
| Medeico Ins Co | $14 | 98% |
| Medicaid / KanCare | $14 - $56 | 98% |
| Medicare (plans) | $14 | 98% |
| Mmc Allwell | $14 | 98% |
| Mmc Blue Advantage | $14 | 98% |
| Mmc Healthy Blue Dual Adv | $14 | 98% |
| Mmc Mcr Hmo Miscellaneous | $14 | 98% |
| Mmc Priority Hlth Pffs | $14 | 98% |
| Mmc Vantage Hlth | $14 | 98% |
| Mmc Wellcare | $14 | 98% |
| Mutual Of Omaha | $14 | 98% |
| Neba Inc | $14 | 98% |
| Philadelphia American Lif | $14 | 98% |
| Sentinel Security Life | $14 | 98% |
| Trustmark Health Benefits | $14 - $270 | 98% |
| Tunica Biloxi | $14 - $270 | 98% |
| United Amer Ins | $14 | 98% |
| UnitedHealthcare | $14 - $56 | 98% |
| Veterans Evaluation Serv | $14 | 98% |
| Wps Vacca | $14 | 98% |
| Mcd Ms | $16 - $62 | 112% |
| All Savers | $18 | 126% |
| Geha | $18 | 126% |
| United Hlth One | $18 | 126% |
| Gulf South Zelis | $19 | 133% |
| Amer Contl Ins | $22 - $152 | 154% |
| Blue Cross Blue Shield | $22 | 154% |
| Coventry | $22 - $152 | 154% |
| First Choice Health | $22 - $152 | 154% |
| Meritan Health | $22 - $270 | 154% |
| Ofc Of Grp Bene | $22 | 154% |
| Student Assurances | $81 - $270 | 568% |
| Ppo Plus Llc | $162 | 1135% |
| Zelis Healthcare Bpa | $162 | 1135% |
| Gilsbar | $170 | 1191% |
| Amerind | $243 | 1703% |
| Applied Underwriters | $243 | 1703% |
| Sedgwick | $243 | 1703% |
| Us Dept Of Labor | $243 | 1703% |
| Wc Clms Admin Svcs | $243 | 1703% |
| Wc Clms Mgmnt Walmart | $243 | 1703% |
| Wc Esis | $243 | 1703% |
| Wc Fara | $243 | 1703% |
| Wc Gallagher Bassett | $243 | 1703% |
| Wc Guide One | $243 | 1703% |
| Wc Hartford Med | $243 | 1703% |
| Wc Luba | $243 | 1703% |
| Wc Lwcc | $243 | 1703% |
| Wc Paragon Casino Resort | $243 | 1703% |
| Wc Risk Mgmnt | $243 | 1703% |
| Wc Stone Trust | $243 | 1703% |
| Wc Summit Consulting Hold | $243 | 1703% |
| Wc Travelers Ins | $243 | 1703% |
| Wc Trs Workers Comp Claim | $243 | 1703% |
| Wc Us Dol | $243 | 1703% |
| Wc Zurich | $243 | 1703% |
| Aarp | $270 | 1892% |
| Admin Concepts | $270 | 1892% |
| All Saints Hospice | $270 | 1892% |
| All State | $270 | 1892% |
| Allegiance Health Hospice | $270 | 1892% |
| Allied Natl | $270 | 1892% |
| Amfirst | $270 | 1892% |
| Avoy Parish School Board | $270 | 1892% |
| Avoyelles Parish Sheriff | $270 | 1892% |
| Bollinger | $270 | 1892% |
| Ccmsi | $270 | 1892% |
| Central States | $270 | 1892% |
| Christus Health Plan | $270 | 1892% |
| Compassionate Care Hospic | $270 | 1892% |
| Core Source | $270 | 1892% |
| Coushatta Hlth Dept | $270 | 1892% |
| Ebms | $270 | 1892% |
| Federated Ins | $270 | 1892% |
| Feedom Life | $270 | 1892% |
| Fidelity Standard Life Co | $270 | 1892% |
| Fox Everette | $270 | 1892% |
| Guarantee Trust | $270 | 1892% |
| Heart Of Hospice | $270 | 1892% |
| Hos Christus Hospice | $270 | 1892% |
| Hos Guardian Hospice Care | $270 | 1892% |
| Hos Harbor Hospice Alex | $270 | 1892% |
| Hos La Hospice Palliative | $270 | 1892% |
| Hos Passages Hospice N. | $270 | 1892% |
| Hos St Joseph Hospice | $270 | 1892% |
| Hospice Miscellaneous | $270 | 1892% |
| Ins Mgmnt Admin | $270 | 1892% |
| Ins Tpa | $270 | 1892% |
| Liberty Health Share | $270 | 1892% |
| Lumico | $270 | 1892% |
| Manhattan Life Ins | $270 | 1892% |
| Medi Share | $270 | 1892% |
| Misc Comm | $270 | 1892% |
| Nalc | $270 | 1892% |
| New Era Life | $270 | 1892% |
| North American | $270 | 1892% |
| Phcs | $270 | 1892% |
| Physicians Mutual | $270 | 1892% |
| Pipeline Ind Bene | $270 | 1892% |
| Progressive Auto | $270 | 1892% |
| Reliance Standard Life | $270 | 1892% |
| Rural Carriers | $270 | 1892% |
| Shelter Ins Co | $270 | 1892% |
| Sierre Health And Life | $270 | 1892% |
| State Farm | $270 | 1892% |
| State Mutual | $270 | 1892% |
| Sterling Investors | $270 | 1892% |
| The Health Plan | $270 | 1892% |
| Tribal Hlth Partners | $270 | 1892% |
| Tricare | $270 | 1892% |
| Uct | $270 | 1892% |
| Unified Life | $270 | 1892% |
| Usaa Life Ins | $270 | 1892% |
| Web-Tpa | $270 | 1892% |
| Woodmen Of The World | $270 | 1892% |