CMS Price Transparency Data

Hepatitis C antibody test

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $18
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at PAM Rehabilitation Hospital of Corpus Christi is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.
Cash / Self-Pay
$205

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: $205 (1437%)
Insurance Median: $18 (126%)
Cash: $205 (1437% 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
Aetna $10 - $14 70%
Curative $11 77%
Driscoll Health Plan $12 84%
Superior Health $12 84%
Ambetter / Centene $14 98%
Blue Cross Blue Shield $14 - $15 98%
Christus Health Plan $14 98%
Christus Spohn Health Network $14 - $123 98%
Cigna $14 98%
Ilumed Aco Reach $14 98%
Imperial Insurance Of Texas $14 98%
UnitedHealthcare $14 98%
Wellcare Complete $14 98%
Wellmed $14 98%
Wellpoint (Amerigroup) $14 98%
Texas Independence Health Plan $15 105%
Velocity Provider Ppo Network $17 - $154 119%
Prime Health Services $19 - $175 133%
Ninety Degree Benefits $21 147%
Sana Benefits $21 147%
Healthcare Highways $113 792%
America'S Choice Provider Network $144 1009%
Provider Network Of America $154 1079%
Quik Trip $154 1079%
Usa Managed Care Organization $154 1079%
Multiplan/Phcs $164 1149%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 345 S Water St, Corpus Christi, TX 78401
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL