CMS Price Transparency Data

Hepatitis C antibody test

Facility: University Of Kansas Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $65
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 4.56x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at University Of Kansas Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 4.56x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $18 (126%)
Insurance Median: $65 (456%)
Cash: $18 (126% of Medicare)
Ins. Median: $65 (456% 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 456% of the Medicare baseline (a markup of 356%). 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.

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
Larned State Hospital [503200090] $19 - $274 133%
Health Plan Inc [503999941] $30 - $437 210%
Accarent Health [503999034] $32 - $465 224%
Alt Carelon Behavioral Health [503200905] $32 - $465 224%
Allied National [503999937] $38 - $558 266%
Php [503200005] $38 - $687 266%
Med-Pay [503200040] $39 - $563 273%
Healthlink [503200007] $39 - $687 273%
Geha [503200036] $39 - $563 273%
Inter-Americas Insurance [503999032] $39 - $563 273%
Cerner [503200038] $39 - $563 273%
Alt Wppa [5032000964] $39 - $563 273%
Cigna $41 - $744 287%
First Health [5032000110] $42 - $613 294%
Aha-Healthcare Preferred [503200050] $42 - $613 294%
Blue Cross Blue Shield $44 - $714 308%
Correct Care Solutions [50311253] $45 - $651 315%
Ascension Living Hope [503201517] $45 - $651 315%
Consolidated Billing [50311256] $45 - $651 315%
Coeur Plan Services [503301517] $45 - $651 315%
Orscheln Industries [503201608] $48 - $698 336%
Empire Plan/Nyship [503200705] $49 - $714 343%
Alt Lucent Health Solutions [503202603] $49 - $714 343%
Alt Lineco [5032000976] $49 - $714 343%
Century Health Solutions [503200054] $51 - $744 357%
Quiktrip [5032000412] $51 - $744 357%
Point Comfort Underwriters [503200018] $51 - $744 357%
Meritain Health [503200039] $54 - $781 378%
Wppa [503200056] $54 - $781 378%
Employers Health Network [503999025] $58 - $837 406%
Plan Care America [503999026] $58 - $837 406%
Sanford Health Plan [503999027] $58 - $837 406%
Usa Managed Care [503999030] $58 - $837 406%
Three Rivers Provider Network [503999029] $58 - $837 406%
Workers Comp [503999901] $61 - $884 427%

Consumer Guidance & Cost Commentary

For this Hepatitis C antibody test at University Of Kansas Hospital, the cash price of $18.00 is significantly lower than the facility's gross charge of $91.00 and the median negotiated rate of $65.00 paid by insurance plans. While the facility's cash rate is higher than the state average of $14.27 (Medicare benchmark), it remains substantially below the wide range of negotiated rates observed across payers, which span from $19 to $884. Patients with high-deductible plans may find the cash price advantageous if their insurance negotiated rate exceeds $18.00, as paying out-of-pocket could result in immediate savings compared to the administrative costs and potential balance billing associated with insurance claims.

To ensure you receive the most accurate pricing, it is essential to request a prompt-pay discount or self-pay rate directly from the hospital before scheduling, as these upfront discounts can further reduce the cost below the listed cash price. If you are using insurance, be aware that while the facility is in-network for many plans, the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, though you should still verify your specific plan's allowed amount to avoid unexpected charges. Finally, if you receive a bill, always demand a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals