CMS Price Transparency Data

Hepatitis C antibody test

Facility: Mountain View Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $22
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Mountain View Regional Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.54x the Medicare baseline. Located in 4311 East Lohman Avenue, Las Cruces, NM.
Cash / Self-Pay
$64

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: $64 (448%)
Insurance Median: $22 (154%)
Cash: $64 (448% 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
Department Of Veterans Affairs $13 91%
Tricare $13 91%
Blue Cross Blue Shield $14 - $128 98%
Medicare (plans) $14 98%
Node Molina Mcr Adv $14 98%
Node Triwest $14 98%
Node Va $14 98%
Presbyterian $14 - $17 98%
UnitedHealthcare $14 - $88 98%
Veterans Eval Services $14 98%
Aetna $15 - $137 105%
Humana $15 105%
Node Amerigroup Mcr Adv $15 105%
Node Devoted Health Mcr Adv $15 105%
Western Sky $15 105%
Work Comp Nm $16 - $62 112%
Medicaid / KanCare $18 126%
Molina $18 126%
Us Department Of Labor $18 126%
Wexford Health $18 126%
Naphcare Federal Prison $25 175%
Node Molina Health Exchange $27 189%
Self Pay $46 - $82 322%
Presbyterian Commercial $97 680%
Cigna $104 729%
Zelis Nmmip $108 757%
Pchs $116 813%
Zelis $120 841%
Healthsmart $125 876%
First Health $128 897%
Presbyterian Select $137 960%
Admar Ppo $150 1051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4311 East Lohman Avenue, Las Cruces, NM 88011
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals