CMS Price Transparency Data
Hepatitis C antibody test
Facility: Chelsea Hospital
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $46
- Cash Discount Price: $49
- vs. Medicare Baseline: 3.22x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Chelsea Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 3.22x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$49
Average discount available for prompt cash payment at this facility.
Insurance Median
$46
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: $49 (343%)
Insurance Median: $46 (322%)
Cash: $49 (343% of Medicare)
Ins. Median: $46 (322% 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 322% of the Medicare baseline (a markup of 222%). 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.
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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 | $8 - $17 | 56% |
| Medicaid / KanCare | $8 | 56% |
| Aetna | $14 - $39 | 98% |
| Align Senior Care | $14 | 98% |
| Angela Hospice | $14 | 98% |
| Arbor Hospice | $14 | 98% |
| Blue Care Network Advantage | $14 | 98% |
| Heartland Hospice | $14 | 98% |
| Medicare (plans) | $14 | 98% |
| Cca - Zing Health | $15 | 105% |
| UnitedHealthcare | $15 - $56 | 105% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $16 | 112% |
| Bcn Domestic | $17 | 119% |
| Blue Benefit Administrators Of Massachusetts | $17 | 119% |
| Blue Care Network | $17 | 119% |
| Blue Distinction Transplant | $17 | 119% |
| Blue Shield - Ca | $17 | 119% |
| Blue Shield - Id (Regence) | $17 | 119% |
| Blue Shield - Ny Highmark Northeastern | $17 | 119% |
| Blue Shield - Ny Highmark Western | $17 | 119% |
| Blue Shield - Pa (Highmark) | $17 | 119% |
| Blue Shield - Wa (Regence) | $17 | 119% |
| Health Choices | $17 - $55 | 119% |
| Kaiser Domestic | $17 | 119% |
| U Of M Health Plan | $17 | 119% |
| Wc Accident Fund | $18 - $22 | 126% |
| Wc Advantage | $18 - $22 | 126% |
| Wc Aig | $18 - $22 | 126% |
| Wc Allied | $18 - $22 | 126% |
| Wc Amerisure | $18 - $22 | 126% |
| Wc Amtrust | $18 - $22 | 126% |
| Wc Asu Risk Mgt | $18 - $22 | 126% |
| Wc Berkley Admin | $18 - $22 | 126% |
| Wc Broadspire | $18 - $22 | 126% |
| Wc Bunch & Associates | $18 - $22 | 126% |
| Wc Ccmsi | $18 - $22 | 126% |
| Wc Emc Insurance Company | $18 - $22 | 126% |
| Wc Esis | $18 - $22 | 126% |
| Wc Fcci | $18 - $22 | 126% |
| Wc Federated | $18 - $22 | 126% |
| Wc Gallagher Bassett | $18 - $22 | 126% |
| Wc Genex Care For Ohio | $18 - $22 | 126% |
| Wc Guard Insurance Company | $18 - $22 | 126% |
| Wc Hartford | $18 - $22 | 126% |
| Wc Liberty Mutual | $18 - $22 | 126% |
| Wc Meijers | $18 - $22 | 126% |
| Wc Michigan | $18 - $22 | 126% |
| Wc Mitchell Frankenmuth | $18 - $22 | 126% |
| Wc Pma | $18 - $22 | 126% |
| Wc Sedgwick | $18 - $22 | 126% |
| Wc Sentry | $18 - $22 | 126% |
| Wc Travelers | $18 - $22 | 126% |
| Wc Tristar | $18 - $22 | 126% |
| Wc Walmart | $18 - $22 | 126% |
| Wc Zurich | $18 - $22 | 126% |
| Molina Marketplace | $19 | 133% |
| Geha | $21 - $56 | 147% |
| Meritain | $21 | 147% |
| Health Cost Solutions | $22 | 154% |
| Vitalcore | $22 | 154% |
| Wellpath | $22 | 154% |
| Employee Benefit Logistic | $32 | 224% |
| Priority Health | $33 - $36 | 231% |
| Access Health | $46 - $55 | 322% |
| Acclaim | $46 - $55 | 322% |
| Administrative Concepts | $46 - $55 | 322% |
| Allegeant | $46 - $55 | 322% |
| Ameriben | $46 - $55 | 322% |
| American Family | $46 - $55 | 322% |
| American Healthcare Alliance | $46 - $55 | 322% |
| American National | $46 - $55 | 322% |
| American Republic | $46 - $55 | 322% |
| Amerihealth | $46 - $55 | 322% |
| Aultcare | $46 - $55 | 322% |
| Automated Benefit Services | $46 - $55 | 322% |
| Auxiant | $46 - $55 | 322% |
| Benefit Administrative Systems,Llc | $46 - $55 | 322% |
| Boon Chapman | $46 - $55 | 322% |
| Cam Administrative Services | $46 - $55 | 322% |
| Christian Brother Services | $46 - $55 | 322% |
| Christian Brothers Holy Cross | $46 - $55 | 322% |
| Comprehensive Benefits | $46 - $55 | 322% |
| Continental Life Insurance | $46 - $55 | 322% |
| Custom Benefit Administrators | $46 - $55 | 322% |
| Employee Benefit Concepts | $46 - $55 | 322% |
| Employee Benefit Management | $46 - $55 | 322% |
| Enterprise Group Planning | $46 - $55 | 322% |
| Freedom Life Insurance Company | $46 - $55 | 322% |
| Group Administrators | $46 - $55 | 322% |
| Group Marketing Services | $46 - $55 | 322% |
| Guardian | $46 - $55 | 322% |
| Health America | $46 - $55 | 322% |
| Healthcare Management Admin | $46 - $55 | 322% |
| Healthez | $46 - $55 | 322% |
| Humana | $46 - $55 | 322% |
| Insight | $46 - $55 | 322% |
| Intercare | $46 - $55 | 322% |
| Jfp Benefit Management | $46 - $55 | 322% |
| Jp Farley Corporation | $46 - $55 | 322% |
| Key Benefit Administrator | $46 - $55 | 322% |
| Liberty Union Life Assurance Co | $46 - $55 | 322% |
| Lucent Health | $46 - $55 | 322% |
| Luminare Health | $46 - $55 | 322% |
| Luminare Health (Detroit) | $46 - $55 | 322% |
| Magnacare | $46 - $55 | 322% |
| Medben | $46 - $55 | 322% |
| Medcost | $46 - $55 | 322% |
| Medical Mutual | $46 - $55 | 322% |
| Mutual Health Services | $46 - $55 | 322% |
| Mutual Of Omaha | $46 - $55 | 322% |
| Ncas | $46 - $55 | 322% |
| Nippon Life Ins | $46 - $55 | 322% |
| Nova | $46 - $55 | 322% |
| Painters Union Insurance Fund | $46 - $55 | 322% |
| Physicians Mutual | $46 - $55 | 322% |
| Plumbers Local 98 Insurance Fund | $46 - $55 | 322% |
| Prairie States | $46 - $55 | 322% |
| Preferred One | $46 - $55 | 322% |
| Primary Physician Care | $46 - $55 | 322% |
| Professional Benefit Administrators | $46 - $55 | 322% |
| Siho Insurance Services | $46 - $55 | 322% |
| Sisco Benefits | $46 - $55 | 322% |
| The Loomis Company | $46 - $55 | 322% |
| Unicare | $46 - $55 | 322% |
| Us Health And Life | $46 - $55 | 322% |
| Valenz | $46 - $55 | 322% |
| Western & Southern Financial Group | $46 - $55 | 322% |
| Wps | $46 - $55 | 322% |
| Asr Health Benefits | $47 | 329% |
| Caresource | $47 | 329% |
| Coventry | $47 - $57 | 329% |
| First Health | $47 - $57 | 329% |
| Hap | $47 - $64 | 329% |
| Varipro | $47 | 329% |
| Hospice Of Michigan | $48 - $58 | 336% |
| Cigna | $49 - $59 | 343% |
| 1199 National Benefit Fund | $52 - $62 | 364% |
| Allied National Global Care | $52 - $62 | 364% |
| Asrm - Reliance Standard Life Insurance | $52 - $62 | 364% |
| Christian Care Ministry | $52 - $62 | 364% |
| Dean Health | $52 - $62 | 364% |
| Fallon Health | $52 - $62 | 364% |
| Family Life Insurance Company | $52 - $62 | 364% |
| Ghc Scw | $52 - $62 | 364% |
| Group Pension Administrators | $52 - $62 | 364% |
| International Benefit Administrators | $52 - $62 | 364% |
| Lifetime Benefit Solutions | $52 - $62 | 364% |
| Manhattan Life | $52 - $62 | 364% |
| Medi Share | $52 - $62 | 364% |
| Multiplan | $52 - $62 | 364% |
| Mvp | $52 - $62 | 364% |
| Pai | $52 - $62 | 364% |
| Pan-American Life | $52 - $62 | 364% |
| Paramount Hmo | $52 - $62 | 364% |
| Phcs | $52 - $62 | 364% |
| Trinity Health Share | $52 - $62 | 364% |
| Health Partners | $54 - $64 | 378% |
| Tufts Health Plan | $54 - $64 | 378% |
| Prime Health Services | $55 - $66 | 385% |
| Three Rivers Provider Network | $62 - $75 | 434% |
| Cmh Detroit Wayne Integrated Health Network | $69 - $83 | 484% |
| Cmh Jackson County/Lifeways | $69 - $83 | 484% |
| Cmh Lenawee County | $69 - $83 | 484% |
| Cmh Livingston County | $69 - $83 | 484% |
| Cmh Misc | $69 - $83 | 484% |
| Cmh Monroe County | $69 - $83 | 484% |
| Cmh Washtenaw County | $69 - $83 | 484% |
| Magellan Behavioral Health | $69 - $83 | 484% |