CMS Price Transparency Data

Hepatitis C antibody test

Facility: Neshoba County General Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $16
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Neshoba County General Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.12x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $36 (252%)
Insurance Median: $16 (112%)
Cash: $36 (252% of Medicare)
Ins. Median: $16 (112% 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
Magnolia Mcaid $13 91%
Molina Mcaid $13 91%
Mpcn Mcaid $13 91%
Tricare $13 91%
UnitedHealthcare $13 - $26 91%
Humana $14 98%
Magnolia Mcr Adv-All Other Plans $14 98%
Molina Comm-All Other Plans $14 98%
Molina Mcr Adv $14 98%
Wellcare Mcr Adv-All Plans $14 98%
First Choice Comm Ip/Op Only - All Plans $18 126%
Aetna $26 182%
Cigna $34 238%
Ahs Ip/Op Only-All Plans $39 273%
Blue Cross Blue Shield $42 294%
Affordable Health Care-All Plans $44 308%
Health Choice Ip/Op Only-All Plans $44 308%
Health Link Ip/Op Only-All Plans $44 308%
Geha-All Plans $47 329%
Multiplan-All Plans $47 329%
Mpcn Ip/Op Only-All Other Plans $65 456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL