Hepatitis C antibody test
Facility: Bmh-Calhoun
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $48
- Cash Discount Price: $32
- vs. Medicare Baseline: 3.36x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 336% of the Medicare baseline (a markup of 236%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Evaluation Services | $14 | 98% |
| Molina | $15 - $49 | 105% |
| Blue Cross Blue Shield | $23 - $27 | 161% |
| PPO Holdings | $24 | 168% |
| Magnolia Regional Health Center | $25 | 175% |
| Tricare | $25 | 175% |
| Triwest | $27 | 189% |
| Devoted Health | $27 | 189% |
| Vaccn | $27 | 189% |
| Ms Breast and Cervical | $27 | 189% |
| Aetna | $28 - $40 | 196% |
| American Health Plan | $28 | 196% |
| Humana | $28 - $50 | 196% |
| Shared Health | $28 | 196% |
| Primewell | $28 | 196% |
| Magnolia Ms | $30 | 210% |
| Littler | $31 | 217% |
| Cigna | $34 | 238% |
| First Choice Health Plan of Ms | $40 | 280% |
| First State Bank Trust | $45 | 315% |
| Burch Food Services | $45 | 315% |
| Patterson Warehouses | $48 | 336% |
| Vaughn Electric | $48 | 336% |
| Delta Industries | $48 | 336% |
| Cannon Motor Company | $48 | 336% |
| City of Lakeland | $48 | 336% |
| Arlington Community Schools | $48 | 336% |
| Armstrong Relocation | $48 | 336% |
| Malco Theaters | $48 | 336% |
| Davidson Hospitality | $48 | 336% |
| Ashley Furniture Stores | $48 | 336% |
| Heavy Machines | $48 | 336% |
| Desoto Co Board of Supervisors | $48 | 336% |
| Mechanical Systems | $48 | 336% |
| Hollowell Industries | $48 | 336% |
| Collierville Schools | $48 | 336% |
| Bartlett City Schools | $48 | 336% |
| Retzer Resources | $48 | 336% |
| United Tn Holdings | $48 | 336% |
| Silver Tree | $48 | 336% |
| City of Bartlett | $48 | 336% |
| Security One | $48 | 336% |
| Radians | $48 | 336% |
| Hattiesburg Clinic | $48 | 336% |
| Brimhall Foods | $48 | 336% |
| Lakeland School System | $48 | 336% |
| Gossett Motor Cars | $48 | 336% |
| Crittenden County | $48 | 336% |
| W G Yates | $48 | 336% |
| French Camp Academy | $48 | 336% |
| Carlisle | $48 | 336% |
| Rei Nation | $48 | 336% |
| Hospitality Management Advisors | $48 | 336% |
| State Systems | $48 | 336% |
| Dunn Investment Company | $48 | 336% |
| First Community Bank | $48 | 336% |
| Eas Mssc Schools | $48 | 336% |
| Y K Auto Group | $48 | 336% |
| Mid-South Transport | $48 | 336% |
| Heartland Catfish Company | $48 | 336% |
| Town of Collierville | $48 | 336% |
| Minact | $48 | 336% |
| Jas D Collier | $48 | 336% |
| Watkins Uiberall | $48 | 336% |
| W W Wood Products | $48 | 336% |
| Ritchey Automotive | $48 | 336% |
| Building Plastic | $48 | 336% |
| Christian Health Aid | $50 | 350% |
| Advanced Health Systems Inc. | $50 | 350% |
| PPO Plus | $53 | 371% |
| Harding Academy | $53 | 371% |
| Employers Health Network | $53 | 371% |
| Multiplan | $56 | 392% |
| Qca | $56 | 392% |