CMS Price Transparency Data

Hepatitis C antibody test

Facility: Hendrick Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $170
Cash Discount Price: $425
vs. Medicare Baseline: 11.91x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Hendrick Medical Center is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $425. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 11.91x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$425

Average discount available for prompt cash payment at this facility.

Insurance Median

$170

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: $425 (2978%)

Insurance Median: $170 (1191%)

Cash: $425 (2978% of Medicare)

Ins. Median: $170 (1191% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1191% of the Medicare baseline (a markup of 1091%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Firstcare Star	$21	147%
Superior Health Plan	$23	161%
Wellpoint (Formerly Known As Amerigroup)	$23	161%
Blue Cross Blue Shield	$47 - $187	329%
Baylor Scott And White Health Plan	$125	876%
UnitedHealthcare	$166 - $234	1163%
Cigna	$255	1787%
Aetna	$268	1878%
Private Healthcare Systems	$276 - $340	1934%
Healthsmart	$319	2235%
Omni Networks	$319 - $361	2235%
Multiplan	$378	2649%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $425.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hendrick Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.