CMS Price Transparency Data

Hepatitis C antibody test

Facility: Rehoboth McKinley Christian Health Care Services

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $427
Cash Discount Price: $155
vs. Medicare Baseline: 29.92x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Rehoboth McKinley Christian Health Care Services is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 29.92x the Medicare baseline. Located in 1901 Red Rock Drive, Gallup, NM.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$427

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: $155 (1086%)

Insurance Median: $427 (2992%)

Cash: $155 (1086% of Medicare)

Ins. Median: $427 (2992% 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 2992% of the Medicare baseline (a markup of 2892%). 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
Medicare (plans)	$124	869%
Triwest	$124	869%
Usa	$136	953%
Coventry	$223	1563%
UnitedHealthcare	$388	2719%
Health West	$414	2901%
Three Rivers	$414	2901%
Blue Cross Blue Shield	$439	3076%
Integrated Health	$439	3076%
Humana	$465	3259%
Multiplan	$465	3259%
Cigna	$481	3371%
Presbyterian	$481	3371%
Associated Plan Administrators	$491	3441%

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 $155.
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 Rehoboth McKinley Christian Health Care Services 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.