Hepatitis C antibody test
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $15
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.05x 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% |
| Vc Hope | $14 | 98% |
| Va | $14 | 98% |
| Medicare (plans) | $14 - $15 | 98% |
| Humana | $14 | 98% |
| Blue Cross Blue Shield | $15 | 105% |
| UnitedHealthcare | $15 - $40 | 105% |
| Cigna | $22 | 154% |
| Medicaid / KanCare | $24 | 168% |
| Aetna | $45 - $50 | 315% |
| Coventry City Of Wichita | $58 | 406% |
Consumer Guidance & Cost Commentary
For the Hepatitis C antibody test (CPT 86803) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $13 to $58 depending on your insurance plan. While the lowest negotiated rates from payers like Smarthealth and Vc Hope start at $13, higher-tier plans such as Aetna and Coventry City Of Wichita have negotiated rates between $45 and $58. It is important to note that cash-pay prices are not listed for this specific service, so patients with high-deductible plans should verify if paying out-of-pocket would be more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill if paid in full upfront.
When evaluating costs, it is crucial to compare these rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare allowed amount for this procedure is $14.27, which serves as a scientifically validated baseline for the true cost of care. Although the facility's lowest negotiated rate of $13 is slightly below the Medicare benchmark, many commercial plans have negotiated rates that are significantly higher, reflecting the administrative costs and contract dynamics inherent in insurance billing. To ensure you are not overcharged, you should request a detailed, itemized bill to review specific CPT codes and avoid paying for services that were not rendered or that were incorrectly bundled. If you receive a balance bill for out-of-network ancillary services, remember that the No Surprises Act generally protects you from unexpected charges for emergency or non