Hepatitis C antibody test
Facility: Kansas Medical Center Llc
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $14
- Cash Discount Price: $41
- 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 |
|---|---|---|
| United | $7 | 49% |
| Indian Health | $13 | 91% |
| Medicaid / KanCare | $14 | 98% |
| Humana | $14 | 98% |
| Blue Cross Blue Shield | $14 - $36 | 98% |
| Medadv_Wellcare | $14 | 98% |
| Ambetter / Centene | $14 | 98% |
| Wppa | $17 - $38 | 119% |
| Three_Rivers | $29 | 203% |
| Aetna | $43 - $45 | 301% |
Consumer Guidance & Cost Commentary
For the Hepatitis C antibody test (CPT 86803) at Kansas Medical Center Llc in Andover, KS, the cash median price is $41.00, which is significantly lower than the state average of $5.00 for the median paid amount and the Medicare benchmark of $14.27. While commercial insurance plans like United and Indian Health have negotiated rates starting around $7.00, other payers such as Blue Cross Blue Shield and Wppa show a wide range of negotiated amounts between $14.00 and $38.00 depending on the specific plan. It is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price, so verifying your specific plan's allowed amount before scheduling is essential.
Patients should be aware that hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled codes; requesting a full itemized CPT-coded bill is the most effective way to audit your statement and ensure you are not being double-billed or charged for services not rendered. Additionally, while the facility offers a proprietary ownership structure, you may qualify for a prompt-pay discount by paying in full upfront, which can reduce the total cost by 20% to 50% and bypass costly insurance claims processing. Always check with the hospital directly for self-pay or prompt-pay discounts before check-in and avoid signing consent waivers that might inadvertently waive your rights to dispute balance billing or surprise charges.