Hepatitis C antibody test
Facility: Bluffton Regional Medical Center
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $19
- Cash Discount Price: $14
- vs. Medicare Baseline: 1.33x 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.
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 |
|---|---|---|
| Aetna | $2 - $215 | 14% |
| Amish Aid | $2 - $116 | 14% |
| Cigna | $2 - $171 | 14% |
| Lutheran Preferred Network | $2 - $386 | 14% |
| Lutheran Trma | $2 - $217 | 14% |
| Php Management Systems | $2 - $187 | 14% |
| Self Pay | $2 - $265 | 14% |
| Consumer Life | $3 - $299 | 21% |
| Encore Ppo | $3 - $236 | 21% |
| Sagamore Health Newtork Inc | $3 - $258 | 21% |
| Sagamore Sebt | $3 - $246 | 21% |
| UnitedHealthcare | $3 - $238 | 21% |
| Ahg Dana Employees | $4 - $313 | 28% |
| Align Networks | $4 - $337 | 28% |
| Multiplan | $4 - $386 | 28% |
| Northeast Hospice | $4 - $337 | 28% |
| Prime Health Services | $4 - $362 | 28% |
| Private Healthcare Systems Inc | $4 - $362 | 28% |
| Tricare | $4 - $13 | 28% |
| Advantage 360 | $5 - $400 | 35% |
| Allied Benefit Systems | $5 - $434 | 35% |
| Blue Cross Blue Shield | $5 - $23 | 35% |
| Cardinal Health Alliance | $5 - $434 | 35% |
| Community Health Alliance | $5 - $410 | 35% |
| Encore Health Network | $5 - $434 | 35% |
| First Health | $5 - $415 | 35% |
| Medicare (plans) | $5 - $14 | 35% |
| Node Caresource Mcr Adv | $5 - $14 | 35% |
| Node Iu Health Mcr Adv | $5 - $14 | 35% |
| Node Mhs Mcr Adv | $5 - $14 | 35% |
| Ppom | $5 - $434 | 35% |
| County Jail Health Care | $6 - $15 | 42% |
| Department Of Veterans Affairs | $6 - $14 | 42% |
| Humana | $6 - $14 | 42% |
| In Dept Of Correction | $6 - $15 | 42% |
| Node Devoted Health Mcr Adv | $6 - $14 | 42% |
| Node Non Par Hospice Agree | $6 - $14 | 42% |
| Node Pphp Mcr Adv | $6 - $15 | 42% |
| Node Va | $6 - $14 | 42% |
| Php | $6 - $36 | 42% |
| Php Freedom Network | $6 - $26 | 42% |
| Physicians Health Plan | $6 - $34 | 42% |
| Veterans Eval Services | $6 - $14 | 42% |
| Us Department Of Labor | $7 - $18 | 49% |
| Lutheran Advanced Network | $8 - $21 | 56% |
| Lutheran Three Rivers Preferred Plus 150 | $8 - $21 | 56% |
| Encore Work Comp In | $10 - $26 | 70% |
| Lutheran Three Rivers Preferred Plus 175 | $10 - $25 | 70% |
| Lutheran Northwest Health Preferred | $11 - $29 | 77% |
| Managed Health Services Exchange | $11 - $29 | 77% |
| Workers Compensation | $11 - $29 | 77% |
| Encore Kba Epo | $13 - $34 | 91% |
| Caresource | $14 | 98% |
| Medicaid / KanCare | $14 | 98% |
| Mhs | $14 | 98% |
| Mhs In Hip | $14 | 98% |
| Encore Kba Ppo | $16 - $43 | 112% |