CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ochsner Watkins Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $22
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ochsner Watkins Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.54x the Medicare baseline. Located in 605 South Archusa Avenue, Quitman, MS.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $19 (133%)
Insurance Median: $22 (154%)
Cash: $19 (133% of Medicare)
Ins. Median: $22 (154% 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
UnitedHealthcare $6 - $52 42%
Humana $11 - $52 77%
Medicaid / KanCare $13 - $14 91%
Cigna $14 - $52 98%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $14 - $53 98%
Medicare (plans) $14 - $60 98%
Primewell Health Services Commercial Exchange Plan $14 - $74 98%
Primewell Health Services – Commercial $14 - $74 98%
Shared Health Mississippi $15 - $55 105%
Prime Health Services Ppo $16 - $72 112%
Ambetter / Centene $17 - $53 119%
Aetna $19 - $58 133%
Select Administrative Services Network $20 - $63 140%
Claritev D/B/A Multiplan/Phcs/American Life Care $22 - $68 154%
Zelis $22 - $68 154%
Blue Cross Blue Shield $23 - $72 161%
Cor Vel $25 175%
Prime Health Services Ppo -Workers Comp $25 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 South Archusa Avenue, Quitman, MS 39355
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals