CMS Price Transparency Data

Hepatitis C antibody test

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $148
Cash Discount Price: $167
vs. Medicare Baseline: 10.37x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Medical West, An Affiliate of UAB Health System is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $167. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 10.37x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$167

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $167 (1170%)

Insurance Median: $148 (1037%)

Cash: $167 (1170% of Medicare)

Ins. Median: $148 (1037% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1037% of the Medicare baseline (a markup of 937%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$4 - $638	28%
Viva	$8 - $442	56%
Phcs	$10 - $618	70%
Beech Street	$11 - $618	77%
One Health Plan	$11 - $574	77%
Aetna	$12 - $618	84%
Geha	$12 - $618	84%
Healthchoice	$12 - $618	84%
Alamed	$13 - $691	91%
Blue Cross Blue Shield	$14	98%
Construction Claims Management	$14 - $714	98%
Cooper Green	$14	98%
Corvel	$14 - $795	98%
Humana	$14 - $751	98%
Jefferson County Sheriff	$14	98%
Multiplan	$14 - $724	98%
Novanet	$14 - $737	98%
Triwest	$14	98%
United Mine Workers	$14	98%
UnitedHealthcare	$14 - $16	98%
Department Of Labor	$15 - $768	105%
Heritage Summit Health	$15 - $768	105%
Pnoa	$15 - $795	105%
Three Rivers	$15 - $795	105%
Ambetter / Centene	$20	140%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $167.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.