CMS Price Transparency Data

Hepatitis C antibody test

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $16
Cash Discount Price: $57
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Memorial Mission Hospital and Asheville Surgery Ce is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.12x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$57

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: $57 (399%)

Insurance Median: $16 (112%)

Cash: $57 (399% 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.

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
Apex Health	$11	77%
Blue Cross Blue Shield	$11	77%
Partners Health Management	$11	77%
United	$11 - $34	77%
Vaya Health	$11	77%
Wellcare	$11 - $15	77%
Alignment Health	$14	98%
Ambetter / Centene	$14	98%
United Behavioral Health	$14	98%
Aetna	$15 - $41	105%
Cigna	$15 - $28	105%
Humana	$15	105%
Provider Partners Health Plan	$15	105%
Pruitthealth Premier	$15	105%
Troy Healthcare	$15	105%
Amerihealth Caritas	$16 - $20	112%
Healthteam Advantage	$16	112%
Longevity Health Plan	$17	119%
Amerihealth	$18	126%
Oscar	$18	126%
Caresource	$25	175%
Medcost	$32 - $49	224%
Magellan	$34	238%
Magellan Behavioral Health	$34	238%
Multiplan	$46	322%
Avalon Administrative Services	$49	343%
Prime Health	$50 - $51	350%

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 $57.
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 Mission Hospital and Asheville Surgery Ce 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.