CMS Price Transparency Data

Hepatitis C antibody test

Facility: Baptist Memorial Hospital - Carroll County

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $26
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Baptist Memorial Hospital - Carroll County is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 631 Rb Wilson Dr, Huntingdon, TN.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $44 (308%)
Insurance Median: $26 (182%)
Cash: $44 (308% of Medicare)
Ins. Median: $26 (182% 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
Wellpoint $12 - $15 84%
Cigna $14 - $30 98%
Humana $14 - $127 98%
Oscar $14 98%
Triwest $14 98%
Vaccn $14 98%
Veterans Evaluation Services $14 98%
Aetna $15 - $121 105%
American Health Plan $15 105%
Blue Cross Blue Shield $15 - $54 105%
Shared Health $15 105%
Arlington Community Schools $22 154%
Bartlett City Schools $24 168%
City Of Bartlett $24 168%
City Of Lakeland $24 168%
Collierville Schools $24 168%
Eas Mssc Schools $24 168%
First State Bank Trust $24 168%
Lakeland School System $24 168%
Magnolia Tn $24 168%
Town Of Collierville $24 168%
Armstrong Relocation $26 182%
Ashley Furniture Stores $26 182%
Brimhall Foods $26 182%
Building Plastic $26 182%
Burch Food Services $26 182%
Cannon Motor Company $26 182%
Carlisle $26 182%
Crittenden County $26 182%
Davidson Hospitality $26 182%
Desoto Co Board Of Supervisors $26 182%
Dunn Investment Company $26 182%
First Choice Health Plan Of Ms $26 - $135 182%
First Community Bank $26 182%
French Camp Academy $26 182%
Gossett Motor Cars $26 182%
Hattiesburg Clinic $26 182%
Heartland Catfish Company $26 182%
Heavy Machines $26 182%
Hollowell Industries $26 182%
Hospitality Management Advisors $26 182%
Jas D Collier $26 182%
Malco Theaters $26 182%
Mechanical Systems $26 182%
Mid-South Transport $26 182%
Patterson Warehouses $26 182%
Radians $26 182%
Rei Nation $26 182%
Retzer Resources $26 182%
Ritchey Automotive $26 182%
Security One $26 182%
Silver Tree $26 182%
State Systems $26 182%
United Tn Holdings $26 182%
Vaughn Electric $26 182%
W G Yates $26 182%
W W Wood Products $26 182%
Watkins Uiberall $26 182%
Y K Auto Group $26 182%
Employers Health Network $29 203%
Harding Academy $29 203%
Ppo Holdings $73 512%
Magnolia Regional Health Center $77 540%
Littler $96 673%
UnitedHealthcare $111 778%
Mpcn $145 1016%
Multiplan $145 1016%
Novasys $145 1016%
Ppo Plus $164 1149%
Qca $174 1219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 631 Rb Wilson Dr, Huntingdon, TN 38344
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals