CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $21
Cash Discount Price: $28
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ochsner Medical Center - Baton Rouge is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $28 (196%)

Insurance Median: $21 (147%)

Cash: $28 (196% of Medicare)

Ins. Median: $21 (147% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$13	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$14	98%
Blue Cross Blue Shield	$14 - $28	98%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$14	98%
Humana	$14	98%
Medicare (plans)	$14	98%
Ochsner Health Plan	$14	98%
Tricare	$14	98%
UnitedHealthcare	$14	98%
Aetna	$15 - $36	105%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$15	105%
Healthy Blue (Healthy Louisiana)	$15	105%
Louisiana Healthcare Connections (Healthy Louisiana)	$15	105%
Zelis	$25	175%
Claritev D/B/A Multiplan/Phcs/American Life Care	$46	322%
Healthcomp & Personify Health (Formerly Gilsbar)	$46	322%
Louisiana Workers' Compensation Corporation (Lwcc)	$58	406%
Mississippi Physicians Care Network	$58	406%
First Health Network	$62	434%
Prime Health Services Ppo	$65	456%
Usa Managed Care Network	$65	456%
Cigna	$68	477%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $28.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Medical Center - Baton Rouge is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.