CMS Price Transparency Data

Hepatitis C antibody test

Facility: Medical City Las Colinas

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $18
  • Cash Discount Price: $1,799
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Medical City Las Colinas is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,799. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 6800 N Macarthur Blvd, Irving, TX.
Cash / Self-Pay
$1,799

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $1,799 (12607%)
Insurance Median: $18 (126%)
Cash: $1,799 (12607% of Medicare)
Ins. Median: $18 (126% 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%
United $12 - $320 84%
Aetna $13 - $1,314 91%
Cigna $13 - $252 91%
Molina $13 - $16 91%
Parkland Community Health Plan $13 91%
Blue Cross Blue Shield $14 - $799 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 - $126 105%
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 - $1,440 189%
Corvel Corporation $28 196%
Molina Healthcare $37 259%
Oscar $37 259%
Healthcare Highways $441 - $608 3090%
Evry Health $464 3252%
Unicare $630 - $1,799 4415%
City Of Mckinney $810 5676%
National Choicecare $900 6307%
Pc Texas Partners $990 6938%
Physicians Coop Of Tx $990 6938%
Rockport Health Group $990 6938%
Averde Health, Inc $1,044 7316%
Coastal Comp Health Networks $1,260 8830%
Mega Life $1,260 8830%
Multiplan Phcs $1,260 8830%
Healthsmart Preferred Care $1,278 8956%
Lewisville Isd/Dls Consulting $1,350 9460%
Usc Health Services $1,440 10091%
Galaxy Health Network $1,530 10722%
Independent Medical Systems $1,799 12607%
National Healthcare Solutions $1,799 12607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6800 N Macarthur Blvd, Irving, TX 75039
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals