CMS Price Transparency Data

Hepatitis C antibody test

Facility: Memorial Hospital Biloxi

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $239
Cash Discount Price: $369
vs. Medicare Baseline: 16.75x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Memorial Hospital Biloxi is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 16.75x the Medicare baseline. Located in 150 Reynoir Street, Biloxi, MS.

Cash / Self-Pay

$369

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $369 (2586%)

Insurance Median: $239 (1675%)

Cash: $369 (2586% of Medicare)

Ins. Median: $239 (1675% 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 1675% of the Medicare baseline (a markup of 1575%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Magnolia Health	$13 - $22	91%
Molina	$13 - $1,274	91%
UnitedHealthcare	$13	91%
Cigna	$15 - $462	105%
Sas Mhg	$59 - $403	413%
Devoted Health	$118 - $198	827%
Fox Everett	$158 - $264	1107%
Sas Non-Mhg	$158 - $264	1107%
Aetna	$197 - $330	1381%
First Choice	$197 - $475	1381%
Mhg	$197 - $330	1381%
First Health	$284 - $475	1990%
Humana	$284 - $475	1990%
Mpcn	$296 - $495	2074%

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 $369.
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 Memorial Hospital Biloxi 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.