Hepatitis C antibody test
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $14
- Cash Discount Price: $105
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Providrs Care Network | $14 | 98% |
| UnitedHealthcare | $14 - $17 | 98% |
| Blue Cross Blue Shield | $14 | 98% |
| Aetna | $14 - $18 | 98% |
| Humana | $14 | 98% |
| United Mine Workers Of America | $14 | 98% |
| Lantern Specialty Care | $23 | 161% |
Consumer Guidance & Cost Commentary
For the Hepatitis C antibody test (CPT code 86803) at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the cash median price is $105.00, which is significantly lower than the state average of $161.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $14 to $18, these amounts often exceed the cash price for patients with high-deductible plans. Because commercial negotiated rates include administrative overhead and contract premiums, paying cash upfront can sometimes result in immediate savings of over $80 compared to the insurer's allowed amount. Patients should verify their specific plan's deductible status before scheduling, as paying the cash rate may be more cost-effective if their insurance has not yet covered the deductible.
To maximize potential savings, consumers should proactively request "self-pay" or "prompt-pay" discounts from the facility before check-in, as these programs can offer additional reductions beyond the base cash rate. It is also important to avoid balance billing by ensuring the facility is in-network for your plan, as the No Surprises Act protects against unexpected out-of-network charges for emergency care and services at in-network facilities. Finally, if you receive a bill, always request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute.