CMS Price Transparency Data

Hepatitis C antibody test

Facility: Lincoln Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $141
Cash Discount Price: $159
vs. Medicare Baseline: 9.88x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Lincoln Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 9.88x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$159

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $159 (1114%)

Insurance Median: $141 (988%)

Cash: $159 (1114% of Medicare)

Ins. Median: $141 (988% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 988% of the Medicare baseline (a markup of 888%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Labor & Industries - All Plans	$20	140%
Ambetter / Centene	$83	582%
Molina Hlthy Options	$83	582%
UnitedHealthcare	$83 - $156	582%
Amerigroup Mcaid - All Plans	$88	617%
Aetna	$99 - $168	694%
Indian Hlth Services - All Plans	$99	694%
Tricare	$99	694%
Va Ccn - All Plans	$99	694%
Cigna	$135	946%
Focus Healthcare Mgmt - All Plans	$141	988%
Molina Exchange-All Other Plans	$141	988%
Blue Cross Blue Shield	$156	1093%
Uniform Medical Plan-All Plans	$156	1093%
First Health Coventry-All Plans	$157	1100%
Health Management Network-All Plans	$159	1114%
Three Rivers-All Plans	$159	1114%
Asuris Nw Health-All Plans	$163	1142%
Multiplan-All Plans	$168	1177%
Physician Hosp Comm Org-All Plans	$168	1177%
First Choice Health- All Plans	$172	1205%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $159.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lincoln Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.