CMS Price Transparency Data

Hepatitis C antibody test

Facility: Wyandotte Hospital and Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Wyandotte Hospital and Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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%)
Insurance Median: $14 (98%)
Ins. Median: $14 (98% 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
Hap $2 - $27 14%
Aetna $8 - $41 56%
Mclaren $8 56%
Meridian Health Plan Of Mi $8 - $19 56%
Molina $8 - $19 56%
Priority Health $8 - $50 56%
Humana $12 - $15 84%
Bcn $14 98%
Blue Cross Blue Shield $14 - $16 98%
Cca Health Michigan $14 98%
Hap Caresource $14 98%
Mclaren Health $14 - $39 98%
Molina Mi Health Link $14 98%
Mount Carmel Health Plan $14 98%
Pace Of Se Mi $14 98%
UnitedHealthcare $14 - $17 98%
Wellcare $14 98%
Cofinity Group Health $33 - $39 231%
Vitalcore Physicians Group Of Mi $46 322%
Cigna $61 427%
Multiplan, Inc. $61 427%
University Of Michigan $73 512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals