CMS Price Transparency Data

Hepatitis C antibody test

Facility: Moberly Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $363
  • Cash Discount Price: $504
  • vs. Medicare Baseline: 25.44x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Moberly Regional Medical Center is $363. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 25.44x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$504

Average discount available for prompt cash payment at this facility.

Insurance Median
$363

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: $504 (3532%)
Insurance Median: $363 (2544%)
Cash: $504 (3532% of Medicare)
Ins. Median: $363 (2544% 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 2544% of the Medicare baseline (a markup of 2444%). 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
Medicaid / KanCare $13 - $21 91%
Tricare $13 91%
Blue Access $14 98%
Blue Cross Blue Shield $14 - $479 98%
Blue Preferred $14 98%
Medicare (plans) $14 98%
Node Va $14 98%
Pathway/Pathway X $14 98%
UnitedHealthcare $14 - $1,029 98%
Veterans Eval Services $14 98%
Node Devoted Health Mcr Adv $15 105%
Centurion Correctional $18 126%
Corizon $18 126%
Us Department Of Labor $18 126%
Home State Health Plan $21 - $26 147%
Healthscope Benefits $24 168%
Naphcare $27 189%
United Behavioral Health Mcd $269 1885%
Self Pay $363 - $646 2544%
Cigna $420 2943%
Access Health Services, Llc $874 6125%
Aetna $885 - $1,076 6202%
Healthlink $941 - $1,076 6594%
Blue Traditional $961 - $1,005 6734%
Multiplan Primary $1,009 7071%
Coventry Wc $1,076 7540%
Multiplan $1,089 7631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals