CMS Price Transparency Data

Hepatitis C antibody test

Facility: Byrd Regional Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $29
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Byrd Regional Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 2.03x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $108 (757%)
Insurance Median: $29 (203%)
Cash: $108 (757% of Medicare)
Ins. Median: $29 (203% 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 203% of the Medicare baseline (a markup of 103%). 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 $11 - $361 77%
Coventry Healthcare Of La $11 - $216 77%
Aarp $12 84%
Geha $12 84%
Gulf Guaranty $12 84%
UnitedHealthcare $12 - $361 84%
Champva $13 91%
Christus Health Plan $13 91%
Tricare $13 - $14 91%
Amerihealth Caritas $14 - $51 98%
Blue Advantage $14 98%
Blue Cross Blue Shield $14 - $25 98%
Correct Care Int Hth $14 - $51 98%
Freedom Beh Hospital $14 98%
Healthy Blue $14 - $51 98%
Humana $14 - $56 98%
Industrial $14 - $361 98%
La Healthcare Conn Mdcaid $14 - $51 98%
Mcr Devoted Healthcare $14 98%
Mcr Lagniappe $14 98%
Medicaid / KanCare $14 - $51 98%
Medicare (plans) $14 98%
Mutual Of Omaha $14 - $361 98%
Peoples Health Mcr Adv $14 98%
Vantage Health Plan $14 98%
Veterans Administration $14 98%
Ambetter / Centene $18 126%
Gulf South Risk Services $19 133%
Cigna $31 - $230 217%
Workers Comp $43 - $325 301%
Self Pay $108 757%
Verity Health $253 1773%
Us Dept Of Labor $325 2278%
Aflac $361 2530%
American Health Advantage $361 2530%
Amfirst $361 2530%
Hospice Of Leesville $361 2530%
Misc Comm $361 2530%
Mischmoppo $361 2530%
Mva $361 2530%
Phcs Private Health $361 2530%
Physicans Mutual $361 2530%
State Farm Insurance $361 2530%
Sterling $361 2530%
Stonetrust $361 2530%
Tri Parish Rehab $361 2530%
United Teacher Asso $361 2530%
Web Tpa $361 2530%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 Fertitta Blvd, Leesville, LA 71446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals