CMS Price Transparency Data

Hepatitis C antibody test

Facility: Harrison County Community Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $26
Cash Discount Price: $37
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Harrison County Community Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $37 (259%)

Insurance Median: $26 (182%)

Cash: $37 (259% of Medicare)

Ins. Median: $26 (182% 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.

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
Multiplan	$14 - $67	98%
Aetna	$17 - $74	119%
Allwell	$17 - $49	119%
Ambetter / Centene	$17 - $49	119%
Blue Advantage Plus	$17 - $49	119%
Care Improvement Plus	$17 - $49	119%
Humana	$17 - $76	119%
UnitedHealthcare	$17 - $71	119%
Healthy Blue	$18	126%
Home State	$18	126%
Blue Cross Blue Shield	$19 - $74	133%
Provider Partners Health Plans	$19 - $53	133%
6 Degrees Health	$24 - $67	168%
Cigna	$24 - $67	168%
Wellmark	$24 - $67	168%

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 $37.
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 Harrison County Community 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.