CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ascension Providence

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ascension Providence is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 6901 Medical Parkway, Waco, TX.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $23 (161%)
Insurance Median: $14 (98%)
Cash: $23 (161% of Medicare)
Ins. Median: $14 (98% 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 $11 - $63 77%
Mclennan County Indigent $11 77%
Medicaid / KanCare $11 - $12 77%
Superior Chip/Chip Perinate $11 - $12 77%
Superior Star $11 - $12 77%
Superior Star Plus $11 - $12 77%
Swhp Rightcare Star $11 - $12 77%
UnitedHealthcare $11 - $15 77%
Wellpoint Star $11 - $12 77%
Medicare (plans) $14 - $15 98%
Tricare $14 98%
Va $14 98%
Aetna $15 105%
Smarthealth $20 140%
Ambetter / Centene $21 147%
Green Imaging $21 147%
Firstcare Focus Network $31 217%
Firstcare Hmo $35 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6901 Medical Parkway, Waco, TX 76712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals