CMS Price Transparency Data

Hepatitis C antibody test

Facility: Okeene Municipal 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 Okeene Municipal 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 207 East F Street, Okeene, OK.
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
Pref Community Choice Ppo-All Plans $3 - $4 21%
Blue Cross Blue Shield $11 - $53 77%
Coventry Mcr Adv $11 - $14 77%
Global Health Mcr Adv $11 - $14 77%
Humana $11 - $25 77%
Medicare (plans) $11 - $14 77%
UnitedHealthcare $11 - $18 77%
Cigna $12 - $15 84%
Ihs-All Plans $13 - $16 91%
Aetna $14 - $25 98%
Healthchoice Ip Only-All Plans $14 - $18 98%
Ok Complete Health Comm-All Other Plans $14 - $17 98%
Global Health-All Other Plans $15 - $19 105%
Healthcare Highways-All Plans $15 - $19 105%
Medica Commercial-All Other Plans $15 - $19 105%
Phcs Savility/Multiplan - All Plans $15 - $19 105%
Community Care Hmo-All Plans $18 - $22 126%
Ok Complete Health Mcaid $20 - $25 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 207 East F Street, Okeene, OK 73763
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals