CMS Price Transparency Data

Hepatitis C antibody test

Facility: Medical City Arlington

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $21
  • Cash Discount Price: $842
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Medical City Arlington is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $842. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$842

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: $842 (5900%)
Insurance Median: $21 (147%)
Cash: $842 (5900% 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
Cook Childrens Health Plan $9 63%
Amerigroup $12 - $14 84%
Parkland Community Health Plan $12 84%
Texas Health Network $12 84%
United $12 - $158 84%
Aetna $13 - $612 91%
Cigna $13 - $118 91%
Molina $13 - $16 91%
Blue Cross Blue Shield $14 - $374 98%
Care N Care $14 98%
Devoted Health $14 98%
Humana $14 - $158 98%
Mutual Of Omaha $14 98%
Triwest Veterans $14 98%
Wellmed $14 98%
American Health Plan Of Texas, Inc. $15 105%
Integranet $15 105%
Procare Advantge $15 105%
Provider Partners Health Plan $15 105%
Superior Health Plan $15 - $59 105%
Texas Independent Health Plan $15 105%
Wellcare $15 105%
Imperial Insurance Company $16 112%
Triwest Health Alliance $16 112%
Universal Healthcare Group $17 119%
Verda Health Plan $19 133%
Bravo Health $21 147%
Superior $26 - $32 182%
Usa Managed Care $27 - $673 189%
Corvel Corporation $28 196%
Molina Healthcare $37 259%
Oscar $37 259%
Unicare $160 - $842 1121%
Healthcare Highways $206 - $284 1444%
Evry Health $217 1521%
City Of Mckinney $379 2656%
Fidelis Securecare $379 2656%
Global Sports Services $421 2950%
National Choicecare $421 2950%
Pc Texas Partners $463 3245%
Physicians Coop Of Tx $463 3245%
Rockport Health Group $463 3245%
Averde Health, Inc $488 3420%
Coastal Comp Health Networks $589 4128%
Mega Life $589 4128%
Multiplan Phcs $589 4128%
Healthsmart Preferred Care $598 4191%
Lewisville Isd/Dls Consulting $631 4422%
Usc Health Services $673 4716%
Galaxy Health Network $715 5011%
Texas Instruments $757 5305%
Independent Medical Systems $842 5900%
National Healthcare Solutions $842 5900%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals