Hepatitis C antibody test
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $14
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $13 - $20 | 91% |
| Medicare (plans) | $14 - $15 | 98% |
| Humana | $14 | 98% |
| Saint Lukes Health Systems | $14 | 98% |
| Via Christi Research | $14 | 98% |
| Va | $14 | 98% |
| Vc Hope | $14 | 98% |
| Blue Cross Blue Shield | $15 | 105% |
| UnitedHealthcare | $15 - $40 | 105% |
| Corizon | $18 | 126% |
| Medicaid / KanCare | $24 | 168% |
| Aetna | $45 | 315% |
| Coventry City Of Wichita | $58 | 406% |
Consumer Guidance & Cost Commentary
For the Hepatitis C antibody test at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $13 to $58 depending on your insurance plan, with a median negotiated amount of $14.00. This aligns closely with the Medicare benchmark of $14.27, indicating that the facility's pricing is consistent with federal cost standards rather than inflated chargemaster lists. While some commercial payers like UnitedHealthcare show a wider range of $15 to $40, the overall data suggests that in-network members are protected from balance billing, as the No Surprises Act generally prevents out-of-network providers at this facility from charging the difference between their full list price and the insurance allowed amount.
Patients should be aware that cash-pay options may offer savings if you have a high-deductible plan, as the cash median is not listed but could potentially be lower than certain negotiated rates. To secure the best possible price, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment. Additionally, if you receive a summary bill, request a full itemized audit to ensure no errors, unbundled codes, or services not rendered are included, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written dispute.