CMS Price Transparency Data

Hepatitis C antibody test

Facility: Merit Health Natchez

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Merit Health Natchez is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $197 (1381%)
Insurance Median: $14 (98%)
Cash: $197 (1381% of Medicare)
Ins. Median: $14 (98% 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.

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
Caresource Truecare $13 91%
Medicaid / KanCare $13 - $14 91%
Tricare $13 91%
UnitedHealthcare $13 - $71 91%
Aetna $14 - $370 98%
First Choice $14 - $460 98%
Humana $14 98%
Medicare (plans) $14 98%
Molina Chip $14 98%
Node Champva $14 98%
Node Devoted Health Mcr Adv $14 98%
Node First Choice American Health Of Ms Mcr Adv $14 98%
Node First Choice Ice $14 98%
Node Hospice Non Par Agree $14 98%
Node Magnolia Mcr Adv $14 98%
Node Molina $14 98%
Node Peoples Health Mcr Adv $14 98%
Node Va $14 98%
Node Vantage Mcr Adv $14 98%
Veterans Eval Services $14 98%
Node Dignity Care Mcr Adv $15 105%
Node First Choice Wellcare Mcr Adv $15 105%
Node Healthy Mississippi Mcr Adv $16 112%
Node Us Dept Of Labor $18 126%
Cigna $20 140%
Advanced Health Systems $23 161%
Blue Cross Blue Shield $24 168%
Magnolia Exchange $25 175%
Molina Exchange $25 175%
Prime Health Wc $25 175%
Work Comp $26 182%
Vantage Commercial $32 224%
Medpartners $33 231%
Vantage Ppaca Tiered $33 231%
Self Pay $118 - $276 827%
Trimed Billing Solutions $197 1381%
Prime Health Services $525 3679%
Ms Dept Of Rehabilitation Services $657 4604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals