CMS Price Transparency Data

Hepatitis C antibody test

Facility: Crossgates River Oaks Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $26
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Crossgates River Oaks Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $90 (631%)
Insurance Median: $26 (182%)
Cash: $90 (631% of Medicare)
Ins. Median: $26 (182% 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%
Magnolia Mcd Chip $13 91%
Medicaid / KanCare $13 - $14 91%
Tricare $13 91%
UnitedHealthcare $13 - $104 91%
Aetna $14 - $251 98%
Humana $14 98%
Medicare (plans) $14 98%
Molina $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 Shared Health Of Ms Mcr Adv $14 98%
Node Hospice Non Par Agree $14 98%
Node Magnolia Mcr Adv $14 98%
Node Va $14 98%
Node Vantage Health Mcr Adv $14 98%
Node Windsor Mcr Adv $14 98%
Veterans Eval Services $14 98%
Node First Choice Wellcare Mcr Adv $15 105%
Node Healthy Mississippi Mcr Adv $16 112%
Node Us Dept Of Labor $18 126%
First Choice Preferred $21 147%
Node First Choice Occunet $21 147%
Advanced Health Systems $23 161%
Blue Cross Blue Shield $24 168%
Molina Exchange $25 175%
Node Magnolia Exchange $25 175%
Ms Work Comp $26 182%
Prime Health Wc $26 182%
First Choice Lgp $31 217%
Vantage Health Commercial $32 224%
Cigna $74 - $251 519%
Self Pay $101 708%
Trimed Billing Solutions $108 757%
Ms State Hospital Of Whitfield $136 953%
First Choice Standard $165 1156%
First Choice Coventry $187 1310%
First Choice Mpcn Standard $197 1381%
First Choice Ppo Plus $197 1381%
Phcs $215 1507%
Benefit Management Systems $258 - $305 1808%
First Choice Stratose $287 2011%
Prime Health Services $287 2011%
American Health Group $305 2137%
Beech Street $305 2137%
Ibew $305 2137%
One Health Plan $323 2263%
Ms Dept Of Rehabilitation Services $359 2516%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals