Hepatitis C antibody test
Facility: Dominion Hospital
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $253
- Cash Discount Price: $539
- vs. Medicare Baseline: 17.73x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1773% of the Medicare baseline (a markup of 1673%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Devoted | $14 | 98% |
| Humana | $14 - $15 | 98% |
| Johns Hopkins | $14 | 98% |
| United Behavioral Health | $14 | 98% |
| Align Senior Care | $15 | 105% |
| Cigna | $15 | 105% |
| Clear Spring Health Plan | $15 | 105% |
| Davita Village Health | $15 | 105% |
| Pyramid Life | $15 | 105% |
| Virginia Premier Health | $15 | 105% |
| Managed Health Network | $16 | 112% |
| Carefirst | $253 - $270 | 1773% |
| Aetna | $324 | 2270% |
| Greenvbrier Sporting Club | $324 | 2270% |
| Value Options | $324 | 2270% |
| Virginia Health Network | $383 | 2684% |
| Corvel | $388 | 2719% |
| Phcs | $404 | 2831% |
| 4Most Health Network | $485 | 3399% |
| Multiplan | $485 | 3399% |