Hepatitis C antibody test
Facility: Jefferson Abington Hospital
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $16
- Cash Discount Price: $16
- vs. Medicare Baseline: 1.12x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Abington Pro Ibc | $9 - $10 | 63% |
| Pro United Commercial | $9 | 63% |
| Blue Cross Blue Shield | $10 - $14 | 70% |
| Medicare (plans) | $10 - $20 | 70% |
| Aetna | $14 - $35 | 98% |
| Devoted Health Participation | $14 - $15 | 98% |
| Innovage | $14 | 98% |
| Innovage Pro | $14 | 98% |
| Inspira Life | $14 | 98% |
| Inspira Life Pro | $14 | 98% |
| Jefferson Health Plan Aca Exchange | $14 | 98% |
| Jup Highmark | $14 | 98% |
| Point Of Comfort Refugee Resettlement | $14 | 98% |
| Provider Partners Health Plan | $14 | 98% |
| St Agnes | $14 | 98% |
| Tricare | $14 | 98% |
| UnitedHealthcare | $14 - $21 | 98% |
| Abington Pro Keystone First Vip | $15 | 105% |
| Cigna | $15 - $21 | 105% |
| Humana | $15 | 105% |
| Keystone First Vip Choice | $15 | 105% |
| Pro Provider Partners Pphp | $15 | 105% |
| Allwell Pa Health_Wellness Ma | $16 | 112% |
| Highmark Wholecare Gateway Pro | $16 | 112% |
| Highmark Wholecare Gateway | $17 | 119% |
| Perennial | $17 | 119% |
| Perennial Pro | $17 | 119% |
| Ibc Employee Benefit | $18 | 126% |
| Ibc Main Line Health | $18 | 126% |
| Ibc | $20 - $42 | 140% |
| Jab Health Partners | $20 | 140% |
| Ambetter / Centene | $21 | 147% |
| Medicaid / KanCare | $21 - $38 | 147% |
| Pro Naphcare | $21 | 147% |
| Upmc Commercial | $21 | 147% |
| Keystone First | $23 | 161% |
| Naphcare | $23 | 161% |
| Jup Pa Health_Wellness | $25 | 175% |
| Pa Health_Wellness Chc | $25 | 175% |
| Highmark | $35 - $41 | 245% |
| Jup Geisinger Commercial | $36 | 252% |
| Geisinger Health Plan | $58 | 406% |