CMS Price Transparency Data

Hepatitis C antibody test

Facility: Woodland Heights Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $21
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Woodland Heights Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $72 (505%)
Insurance Median: $21 (147%)
Cash: $72 (505% of Medicare)
Ins. Median: $21 (147% 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 $14 - $70 98%
Humana $14 98%
Medicare (plans) $14 98%
Node Triwest $14 98%
Node Va $14 98%
UnitedHealthcare $14 - $142 98%
Veterans Eval Services $14 98%
American Health Mcr Adv $15 105%
Department Of Veterans Affairs $15 105%
Node Amerigroup Mcr Adv $15 105%
Node Procare Advantage $15 105%
Provider Partners Health Plan $15 105%
Superior $15 - $21 105%
Tricare $15 105%
Self Pay $16 - $32 112%
Node Us Dept Of Labor $18 126%
Medicaid / KanCare $20 - $29 140%
Angelina County $21 147%
Corporate Remedies $21 147%
Partners Direct Health $21 147%
Node Brookshire Brothers $25 175%
Node Brookshire Brothers Work Comp Tx $26 182%
Usa Managed Care $27 189%
Amerigroup $29 203%
Work Comp $29 203%
Cigna $40 280%
Texas Rehab Commission $80 561%
Aetna $170 - $273 1191%
Multiplan $209 - $273 1465%
Unicare $225 1577%
Galaxy Health Network $273 1913%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals