CMS Price Transparency Data
Hepatitis C antibody test
Facility: Baptist Memorial Hospital Tipton
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $26
- Cash Discount Price: $72
- vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Baptist Memorial Hospital Tipton is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$72
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: $72 (505%)
Insurance Median: $26 (182%)
Cash: $72 (505% 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
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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% |
| Oscar | $14 | 98% |
| Triwest | $14 | 98% |
| Vaccn | $14 | 98% |
| Veterans Evaluation Services | $14 | 98% |
| Aetna | $15 - $158 | 105% |
| American Health Plan | $15 | 105% |
| Blue Cross Blue Shield | $15 - $316 | 105% |
| Devoted Health | $15 | 105% |
| Humana | $15 - $35 | 105% |
| Molina | $15 - $263 | 105% |
| Novasys | $15 - $394 | 105% |
| Shared Health | $15 | 105% |
| Tribute Health Plan | $15 | 105% |
| 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 - $368 | 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 - $316 | 203% |
| Employers Health Network | $29 | 203% |
| Harding Academy | $29 | 203% |
| Cigna | $30 | 210% |
| Magnolia Regional Health Center | $30 - $210 | 210% |
| Multiplan | $32 - $394 | 224% |
| Littler | $38 - $263 | 266% |
| Butler Snow | $45 - $316 | 315% |
| UnitedHealthcare | $45 - $316 | 315% |
| Mpcn | $56 - $394 | 392% |
| Ppo Plus | $64 - $447 | 448% |
| Qca | $68 - $473 | 477% |