CMS Price Transparency Data

Hepatitis C antibody test

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Tennova Healthcare - Newport Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 435 2Nd St, Newport, TN.
Cash / Self-Pay
$88

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: $88 (617%)
Insurance Median: $15 (105%)
Cash: $88 (617% 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
Amerigroup $6 - $15 42%
Medicaid / KanCare $7 49%
UnitedHealthcare $7 - $375 49%
Tricare $13 91%
Aetna $14 - $233 98%
Blue Cross Blue Shield $14 - $71 98%
Humana $14 98%
Medicare (plans) $14 98%
Node Bluecare Plus Tn Mcr Adv $14 98%
Node Champva $14 98%
Node Devoted Health Mcr Adv $14 98%
Node Farm Bureau Mcr Adv $14 98%
Node Healthspring Mcr Adv $14 98%
Node Hospice Non Par Agree $14 98%
Node Va $14 98%
Veterans Eval Services $14 98%
Node Nhc Mcr Adv $15 105%
Node Wellcare Mcr Adv $15 105%
Windsor Health Plan $15 105%
Us Department Of Labor $18 126%
Novanet Work Comp Tn $21 147%
Tn Work Comp $21 147%
Cigna $22 154%
Ambetter / Centene $26 182%
Bluecare $27 - $28 189%
Point Comfort Underwriters $31 217%
Self Pay $88 617%
Multiplan $293 2053%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 435 2Nd St, Newport, TN 37821
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals