CMS Price Transparency Data

Hepatitis C antibody test

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $27
  • Cash Discount Price: $139
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Mercy Specialty Hospital Southeast Kansas is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.89x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$139

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $139 (974%)
Insurance Median: $27 (189%)
Cash: $139 (974% of Medicare)
Ins. Median: $27 (189% 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.

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
First Health Contracted [320128] $12 84%
UnitedHealthcare $12 - $198 84%
United Medical Resources Contracted [320454] $12 - $39 84%
Aetna $12 - $14 84%
Blue Cross Blue Shield $13 - $32 91%
Humana $13 - $14 91%
Medicaid / KanCare $13 - $20 91%
Mercy Mgd Behavioral Health Contracted [320259] $14 98%
Medicare (plans) $14 98%
Kindful Hospice Contracted [320434] $14 98%
Medica Contracted [320239] $14 98%
Tricare $14 98%
Cross Timbers Hospice [20098] $14 98%
Globalhealth Contracted [320145] $14 98%
Cherokee Nation Health Serv Contracted [320066] $14 98%
Halo Hcr Inc Hospice Contracted [320432] $14 98%
Kindful Hospice [20434] $14 98%
Cigna $14 - $82 98%
Dept Of Veteran Affairs Contracted [320106] $14 98%
Elara Caring Aspire Hospice [20433] $14 98%
Pace Of The Ozarks Contracted [320518] $14 98%
Halo Hcr Inc Hospice [20432] $14 98%
Medical Associates Health Contracted [320444] $14 98%
Qual Choice Contracted [320325] $14 98%
Mercy Hospice Okc [20252] $14 98%
Provider Partners Health Plans Contracted [320450] $15 105%
Centivo Contracted [320505] $24 168%
Providrs Care Network Contracted [320484] $27 189%
Point C Contracted [320238] $39 - $160 273%
Health Systems Inc Contracted [320174] $39 273%
Healthscope Contracted [320182] $39 - $160 273%
Benefit Management Contracted [320052] $39 273%
Insurance System Inc Contracted [320465] $39 273%
Show-Me Health Administrators Contracted [320483] $88 617%
Mercy Benefit Admin Contracted [320251] $88 - $150 617%
Auxiant Contracted [320462] $150 - $160 1051%
Aither Health Contracted [320449] $150 1051%
Ebms Contracted [320493] $150 1051%
American Healthcare Alliance Contracted [320020] $150 1051%
Yuzu Health Contracted [320521] $150 1051%
Reflect Health Contracted [320492] $150 1051%
Imagine 360 Contracted [320494] $150 1051%
Edison Health Solutions Contracted [320502] $150 1051%
Preferred Health Plan Contracted [320522] $160 1121%
Federal Medical Center Contracted [320127] $160 1121%
Healthlink Contracted [320179] $160 1121%
Compcare Of The Ozarks Contracted [320437] $169 1184%
Workers Comp [20426] $171 1198%
Private Health Care Systems Contracted [320320] $198 1388%
Multiplan [20270] $203 1423%
Multiplan Contracted [320270] $203 1423%

Consumer Guidance & Cost Commentary

For the Hepatitis C antibody test (CPT 86803), the gross charge at Mercy Specialty Hospital Southeast Kansas is $214.00. While the facility offers a cash median price of $139.00, which is lower than the negotiated rates paid by most insurance plans, patients should be aware that commercial payers often negotiate rates significantly higher than cash prices. For instance, UnitedHealthcare's negotiated range spans from $12 to $198, and Point C's range extends up to $160. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $139.00 upfront could result in immediate savings compared to the insurance allowed amount, provided you secure a prompt-pay discount before the claim is submitted.

The facility's cash rate of $139.00 is notably higher than the state average for this service, which is approximately $27.00 based on the median negotiated rate reported for the region. However, this comparison highlights that while the facility's cash price exceeds the regional average, the negotiated rates for many commercial payers also exceed the cash price, making self-pay a potentially more economical option for those without active coverage. To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount prior to scheduling, as billing systems often default to insurance processing once a card is on file. Additionally, because the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients should verify their network status and ensure no out-of-network ancillary services are billed to avoid unexpected charges.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals