CMS Price Transparency Data

Hepatitis C antibody test

Facility: Long Island Community Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Long Island Community Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $17 (119%)
Insurance Median: $14 (98%)
Cash: $17 (119% of Medicare)
Ins. Median: $14 (98% 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
Local 1199 $7 49%
Magellan $9 63%
Multiplan $9 63%
Oscar Health Exchange $10 70%
Coventry $11 77%
Longevity Health $11 77%
Galaxy $13 91%
Aarp $14 98%
Aetna $14 - $36 98%
Beacon Health Options $14 98%
Blue Cross Blue Shield $14 - $42 98%
Centerlight $14 98%
Cigna $14 98%
Emblem Ghi $14 98%
Fidelis $14 98%
Humana $14 98%
Integra $14 98%
Medicare (plans) $14 98%
UnitedHealthcare $14 - $16 98%
Agewell $15 105%
Elderplan Inc. $16 112%
Nexus Nyu $16 112%
Wellcare $16 112%
Empire Mediblue $41 287%
Magnacare $83 - $145 582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals