CMS Price Transparency Data

Hepatitis C antibody test

Facility: Bob Wilson Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $105
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 7.36x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Bob Wilson Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 7.36x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $51 (357%)
Insurance Median: $105 (736%)
Cash: $51 (357% of Medicare)
Ins. Median: $105 (736% 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 736% of the Medicare baseline (a markup of 636%). 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
Centura Employee Plan $18 126%
Kansas Health $41 287%
UnitedHealthcare $41 - $107 287%
Humana $41 287%
Medicare (plans) $41 287%
Aetna $41 - $103 287%
Blue Cross Blue Shield $60 420%
Multiplan $116 - $119 813%
Health Partners Of Kansas $121 848%
Wppa $122 855%

Consumer Guidance & Cost Commentary

For the Hepatitis C antibody test (CPT 86803) at Bob Wilson Memorial Hospital in Ulysses, Kansas, the cash median price is $51.00, which is significantly lower than the facility's negotiated rates. While the hospital's negotiated average is $105.00, the cash price offers a more direct comparison to the state average of $60.00. Patients with high-deductible plans or those without insurance may find the cash price advantageous, as it avoids the administrative overhead and markup inherent in insurance billing cycles. It is important to note that while the cash rate is lower than the negotiated average, it is still higher than the Medicare benchmark of $14.27, which serves as the federal baseline for cost.

The data indicates that commercial insurance rates vary widely across payers, ranging from $18 for Centura Employee Plans to $122 for Wppa, with UnitedHealthcare showing the widest spread between their lowest and highest rates. Because the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify their network status before scheduling. If a patient chooses to pay out-of-pocket, they should explicitly request a "self-pay" or "prompt-pay" discount at the time of registration, as these upfront fee reductions can further lower the cost. Consumers are advised to demand a full itemized bill rather than accepting a summary invoice, ensuring that all charges are accurate and that no unbundled codes or services not rendered are included in the final amount.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals