CMS Price Transparency Data

Hepatitis C antibody test

Facility: Alexian Brothers Medical Center 1

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $17
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Alexian Brothers Medical Center 1 is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.19x the Medicare baseline. Located in 800 Biesterfield Rd, Elk Grove Village, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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%)
Insurance Median: $17 (119%)
Ins. Median: $17 (119% 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
Smarthealth $11 - $20 77%
Aarp $14 98%
Aetna $14 - $44 98%
Blue Cross Blue Shield $14 - $42 98%
Cigna $14 - $43 98%
Covid-19 Uninsured $14 98%
Humana $14 - $63 98%
Medicare (plans) $14 - $15 98%
UnitedHealthcare $14 - $24 98%
Molina Healthcare Of Illinois $15 105%
Bright Health $18 126%
Actin Care $22 154%
Ambetter / Centene $23 161%
County Care $44 308%
Family Health Plan $44 308%
Harmony Health Plan $44 308%
Illinicare $44 308%
Medicaid / KanCare $44 308%
Meridian $44 308%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Biesterfield Rd, Elk Grove Village, IL 60007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals