CMS Price Transparency Data

Hepatitis C antibody test

Facility: St John Owasso

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $19
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at St John Owasso is $19. 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 1.33x the Medicare baseline. Located in 12451 East 100Th Street North, Owasso, OK.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $19 (133%)
Cash: $49 (343% of Medicare)
Ins. Median: $19 (133% 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
Champva $14 98%
Community Care - St John Network Senior - Govt $14 - $144 98%
Communitycare Senior $14 - $144 98%
Humana $14 98%
Life Pace $14 98%
Longevity Health Plan Of Oklahoma $14 98%
Medicare (plans) $14 98%
UnitedHealthcare $14 - $15 98%
Va Community Care Network $14 98%
Veterans Administration $14 98%
Blue Cross Blue Shield $15 - $39 105%
First Health $15 - $72 105%
Communitycare (Standard) $16 112%
Community Care (Select) 7/1/13 $17 119%
Ccl&H $19 133%
Smarthealth $20 140%
Community Care Smarthealth $21 - $34 147%
Communitycare (Select) $21 - $33 147%
Aetna $22 154%
Connect Health Benefit $29 203%
Evolutions $29 203%
Kempton Group Administrators $32 224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12451 East 100Th Street North, Owasso, OK 74055
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals