CMS Price Transparency Data

Hepatitis C antibody test

Facility: Womans Hospital of Texas,The

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $593
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Womans Hospital of Texas,The is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $593. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$593

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: $593 (4156%)
Insurance Median: $15 (105%)
Cash: $593 (4156% 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
Amerigroup $12 - $14 84%
Community Health Choice Mcd $12 84%
Texas Childrens Health Plans $12 - $155 84%
Texas Health Network $12 84%
United $12 - $267 84%
Aetna $13 - $76 91%
Molina Healthcare $13 - $31 91%
Blue Cross Blue Shield $14 - $208 98%
Cigna $14 - $75 98%
Devoted Health $14 98%
Humana $14 - $191 98%
Oscar $14 - $41 98%
Triwest Healthcare Alliance $14 98%
Van Lang Ipa $14 98%
Wellmed $14 98%
American Health Plan $15 105%
Christus (Usfhp) $15 105%
Integranet Amerigroup Ipa $15 105%
Kelsey Seybold $15 105%
Procare Advantage $15 105%
Provider Partners Health Plan Of Texas $15 105%
Shared Health $15 105%
Superior Health Plan $15 - $36 105%
Triwest Health Alliance $15 105%
Wellcare $15 105%
Molina $16 112%
Universal Healthcare Group $17 119%
Verda Health Plan $19 133%
Community Health Choice $21 147%
Superior $21 - $22 147%
Corvel Corporation $28 196%
Omni Healthcare $30 210%
Healthcare Highways $43 301%
Evry Health $162 1135%
Imagine Health $208 1458%
Kelsey Care (Boon-Chapman) $208 1458%
Healthsmart Preferred Care $255 - $504 1787%
Averde Health $267 1871%
Fidelis Securecare Of Tx $267 1871%
Coventry National First Health $316 2214%
Physicians Cooperative Of Texas $326 2285%
Rockport Workers Comp $326 2285%
Independent Medical System $356 2495%
National Healthcare Solutions $356 2495%
Southwest Medical $356 2495%
Coastal Comp $385 2698%
Affiliated Ppo $445 3118%
Fiesta Mart, Inc $445 3118%
Multiplan $445 - $504 3118%
Physicians, Inc $504 3532%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals