CMS Price Transparency Data

Hepatitis C antibody test

Facility: Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $35
Cash Discount Price: $86
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 2.45x the Medicare baseline. Located in 200 Abraham Flexner Way, Louisville, KY.

Cash / Self-Pay

$86

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $86 (603%)

Insurance Median: $35 (245%)

Cash: $86 (603% of Medicare)

Ins. Median: $35 (245% 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 245% of the Medicare baseline (a markup of 145%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$12 - $82	84%
Humana	$13 - $36	91%
Aetna	$14 - $36	98%
Essence Health	$14	98%
Passport	$14 - $96	98%
Senior Care Community Of Ky	$14	98%
Signature	$14 - $15	98%
UnitedHealthcare	$14 - $91	98%
Va Ccn	$14	98%
Communicare	$15	105%
Communicare Med Adv Fy	$15	105%
Devoted	$15 - $57	105%
Wellcare	$15 - $34	105%
Velocity	$18 - $187	126%
Key Benefit Administrators	$19	133%
Cigna	$23	161%
Prime Group Health	$68 - $162	477%
Encore	$115	806%
Multiplan	$126 - $172	883%
Omca	$181	1268%
Corvel	$191	1338%
Cshn	$191	1338%
Health Smart	$191	1338%
National Comp Care	$191	1338%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $86.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.