CMS Price Transparency Data

Hepatitis C antibody test

Facility: Maury Regional Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Maury Regional Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $62 (434%)
Insurance Median: $15 (105%)
Cash: $62 (434% of Medicare)
Ins. Median: $15 (105% 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
UnitedHealthcare $8 - $15 56%
Wellpoint $8 - $14 56%
Blue Cross Blue Shield $10 - $60 70%
Wellpoint Tci $13 91%
American Health Plans $14 - $15 98%
Cigna $14 - $126 98%
Farm Bureau Health Plans $14 98%
Humana $14 98%
Medicare (plans) $14 98%
Aetna $15 - $119 105%
Nhc $15 105%
Wellcare Harmony Health $15 105%
Medrisk $21 147%
State Of Tennessee $21 147%
Ambetter / Centene $25 - $36 175%
Oscar $36 252%
Wayne County Jail $66 463%
Lawrence County Jail $99 694%
Lewis County Jail $99 694%
Marshall County Jail $99 694%
Beech Street $106 743%
Multiplan $106 743%
Phcs $106 743%
Firsthealth $127 890%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals