CMS Price Transparency Data

Hepatitis C antibody test

Facility: Baptist Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $29
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Baptist Memorial Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 2.03x the Medicare baseline. Located in 6019 Walnut Grove Road, Memphis, TN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $63 (441%)
Insurance Median: $29 (203%)
Cash: $63 (441% of Medicare)
Ins. Median: $29 (203% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 203% of the Medicare baseline (a markup of 103%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Oscar $14 98%
Triwest $14 98%
Vaccn $14 98%
Veterans Evaluation Services $14 98%
Wellpoint $14 - $15 98%
Aetna $15 - $136 105%
American Health Plan $15 105%
Blue Cross Blue Shield $15 - $315 105%
Devoted Health $15 105%
Humana $15 - $35 105%
Molina $15 - $262 105%
Novasys $15 - $304 105%
Shared Health $15 105%
Tribute Health Plan $15 105%
Rhodes College $23 161%
Arlington Community Schools $24 168%
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 - $278 182%
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%
Ppo Holdings $28 - $200 196%
Access Health Services $29 - $315 203%
Employers Health Network $29 203%
Harding Academy $29 203%
Mpcn $29 203%
Cooper Realty $30 - $210 210%
Magnolia Regional Health Center $30 - $210 210%
Multiplan $32 - $394 224%
Littler $38 - $262 266%
Ppo Plus $38 - $420 266%
Butler Snow $45 - $315 315%
UnitedHealthcare $45 - $315 315%
Qca $56 - $394 392%
Christian Health Aid $60 - $420 420%
St. Jude Children'S Hospital $68 - $472 477%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6019 Walnut Grove Road, Memphis, TN 38120
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals