CMS Price Transparency Data

Hepatitis C antibody test

Facility: Knapp Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Knapp Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$14

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: $14 (98%)
Insurance Median: $15 (105%)
Cash: $14 (98% 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
Corvel $10 70%
Provider Network Of America $11 77%
Zelis Healthcare Fka Stratose $11 77%
Provider Select $12 84%
Superior Health Plan $12 - $24 84%
UnitedHealthcare $12 - $24 84%
Molina $13 - $26 91%
Three Rivers $13 91%
Americas Choice Provider Network (Acpn) $14 98%
Blue Cross Blue Shield $14 - $52 98%
Cigna $14 - $24 98%
Coventry (First Health) $14 98%
Division Of Immigration Health $14 98%
Medicare (plans) $14 98%
Prime Health Services $14 98%
Texas Bluebonnet Health Plan $14 - $24 98%
Tricare $14 98%
Veterans Evaluation Services $14 98%
Wellmed Aarp Ma Fka Physicians Health Choice $14 98%
Worker Comp $14 98%
Imperial Insurance Companies $15 105%
Multiplan $15 105%
Provider Partners Health Plan $15 105%
Texas Oncology Pa Op $18 126%
Frontier Health (Fka Asserta Health) $19 133%
Magic Valley Electric Cooperative $19 133%
Employer Direct Healthcare $20 140%
Corporate Remedies (Wc) $21 147%
Naphcare $22 154%
Medicaid / KanCare $23 - $24 161%
Occunet $25 175%
Baker Benefits Administrators $29 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals