CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ascension Seton Cedar Park

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $19
  • Cash Discount Price: $272
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ascension Seton Cedar Park is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 1401 Medical Parkway, Cedar Park, TX.
Cash / Self-Pay
$272

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $272 (1906%)
Insurance Median: $19 (133%)
Cash: $272 (1906% of Medicare)
Ins. Median: $19 (133% 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 $11 - $67 77%
Dell Chip/Chip Perinate $11 - $15 77%
Dell Star $11 - $12 77%
UnitedHealthcare $11 - $12 77%
Wellpoint Star $11 - $15 77%
Wellpoint Star Plus $11 - $15 77%
Ambetter / Centene $12 - $16 84%
Wellpoint Chip/Chip Perinate $12 - $15 84%
Wellpoint Star Kids $12 84%
Champva $17 - $19 119%
Humana $24 168%
Cigna $33 231%
Seton Performance Plus $35 245%
Aetna $38 - $106 266%
Covenant Health $78 547%
Superior Star $302 2116%
Superior Star Foster $302 2116%
Superior Star Kids $302 2116%
Superior Star Plus $302 2116%
Superior Chip/Chip Perinate $340 2383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Medical Parkway, Cedar Park, TX 78613
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals