CMS Price Transparency Data

Hepatitis C antibody test

Facility: Longview Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $25
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Longview Regional Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.75x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $105 (736%)
Insurance Median: $25 (175%)
Cash: $105 (736% of Medicare)
Ins. Median: $25 (175% 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
Medicaid / KanCare $12 - $44 84%
UnitedHealthcare $12 - $131 84%
Superior $13 - $21 91%
Aetna $14 - $318 98%
Blue Cross Blue Shield $14 - $124 98%
Healthspring $14 98%
Humana $14 98%
Medicare (plans) $14 98%
Node Hospice Non Par Agree $14 98%
Node Triwest $14 98%
Node Va $14 98%
Veterans Eval Services $14 98%
American Health Mcr Adv $15 105%
Node Amerigroup Mcr Adv $15 105%
Node Champva $15 105%
Provider Partners Health Plan $15 105%
Tricare $15 105%
Wellness Pointe $17 119%
Node Us Dept Of Labor $18 126%
Access Direct Platinum $24 168%
Node Brookshire Brothers $25 175%
Node Brookshire Brothers Work Comp Tx $27 189%
Self Pay $28 - $42 196%
Work Comp $29 203%
Cigna $31 217%
Amerigroup $44 308%
Texas Rehab Commission $117 820%
Nx Health Network $149 1044%
Health Smart $257 - $327 1801%
Gregg Co Detention Center $271 1899%
Verity Health Net $271 1899%
Multiplan $303 - $397 2123%
Aim Administrators $350 2453%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals