CMS Price Transparency Data

Hepatitis C antibody test

Facility: Belton Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $30
  • Cash Discount Price: $288
  • vs. Medicare Baseline: 2.10x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Belton Regional Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 2.10x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.
Cash / Self-Pay
$288

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $288 (2018%)
Insurance Median: $30 (210%)
Cash: $288 (2018% of Medicare)
Ins. Median: $30 (210% 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 210% of the Medicare baseline (a markup of 110%). 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
Cigna $7 - $15 49%
Aetna $13 - $147 91%
Blue Cross Blue Shield $13 - $118 91%
Coventry $14 - $116 98%
Devoted Health $14 98%
Humana $14 - $35 98%
United $14 - $130 98%
Amerigroup $15 105%
Celtic $15 105%
Healthyblue $15 105%
Home State Health Plan $15 105%
Medicaid / KanCare $15 105%
Pyramid Life $15 105%
Unicare $15 105%
Wellcare $15 105%
Oscar $22 154%
Multiplan $25 - $213 175%
Corvel Corporation $30 - $187 210%
Oha Network $31 - $144 217%
Ambetter / Centene $54 378%
Nhc Advantage $55 385%
Wppa Providrs Care Network $58 406%
Universal Healthcare $101 708%
Coventry Kc Mo $118 827%
College Park Family Care Center $124 869%
Cco, Inc. $245 1717%
Focus Healthcare Mgmt, Inc $260 1822%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17065 S 71 Highway, Belton, MO 64012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals