CMS Price Transparency Data

Hepatitis C antibody test

Facility: Dequincy Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $69
  • Cash Discount Price: $115
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Dequincy Memorial Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 4.84x the Medicare baseline. Located in 110 West 4Th Street, Dequincy, LA.
Cash / Self-Pay
$115

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $115 (806%)
Insurance Median: $69 (484%)
Cash: $115 (806% of Medicare)
Ins. Median: $69 (484% 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 484% of the Medicare baseline (a markup of 384%). 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 $9 - $109 63%
Cigna $9 - $164 63%
Amerihealth Caritas La $14 - $109 98%
Correct Care $14 - $109 98%
Healthy Blue $14 - $109 98%
Humana $14 - $120 98%
Louisiana Health Connect $14 - $109 98%
Medicaid / KanCare $14 - $164 98%
UnitedHealthcare $14 - $109 98%
Blue Cross Blue Shield $25 - $26 175%
Allegiance Hospice $69 484%
Ambetter / Centene $69 484%
Blue Advantage $69 484%
Mcr Lagniappe $69 484%
Medicare (plans) $69 484%
Mutual Of Omaha $69 484%
Peoples Health $69 484%
Pro Care Advantage $69 484%
Tricare $69 484%
Vaccn $69 484%
Wellcare $69 484%
Mc Vantage Health Plan $99 - $107 694%
Gulf South Risk Service $100 701%
Self Pay $115 806%
Work Comp $148 1037%
Aarp Healthcare $164 1149%
Allegiance Home Health Sw $164 1149%
American Health Adv $164 1149%
Amfirst $164 1149%
Attorney $164 1149%
Bankers Life $164 1149%
Care Center Of Dequincy $164 1149%
Commerical $164 1149%
Harbor Hospice $164 1149%
High Hope Care Center $164 1149%
Medi-Share $164 1149%
Ppo Plus Lc $164 1149%
Rural Health Carriers $164 1149%
Tri Parish Rehab $164 1149%
United Teachers Assoc $164 1149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 West 4Th Street, Dequincy, LA 70633
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals