CMS Price Transparency Data

Hepatitis C antibody test

Facility: Wood County Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Wood County Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.
Cash / Self-Pay
$18

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $18 (126%)
Insurance Median: $15 (105%)
Cash: $18 (126% of Medicare)
Ins. Median: $15 (105% 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
Blue Cross Blue Shield $6 - $14 42%
Mmo $11 - $16 77%
Aetna $14 - $15 98%
Buckeye $14 - $24 98%
Caresource $14 - $17 98%
Frontpath $14 98%
Humana $14 - $17 98%
Medicare (plans) $14 98%
Paramount $14 98%
Perennial $14 98%
Summacare $14 98%
United_Healthcare $14 - $16 98%
Advanced_Medical_Pricing $15 105%
Cigna $15 105%
Medben $15 105%
Medigold $15 105%
Occunet $15 105%
Ohio_Health_Choice $15 - $16 105%
Valor $15 105%
Claimdoc $16 112%
First_Health $16 112%
Health_Ohio_Network $16 112%
Beech_Street $17 119%
Flora $17 119%
Healthscope_Benefits $17 119%
Multiplan $17 119%
Npn_Medical_Resources $17 119%
Ohio_Health_Group $17 119%
Ohio_Preferred_Provider_Network $17 119%
Primary_Health_Services_Dca $17 119%
Private_Healthcare_Systems $17 119%
Three_Rivers_Provider_Network $17 119%
Unicare $17 119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 West Wooster Street, Bowling Green, OH 43402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals