Hepatitis C antibody test
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $60
- Cash Discount Price: $58
- vs. Medicare Baseline: 4.20x 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 420% of the Medicare baseline (a markup of 320%). 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 |
|---|---|---|
| Cigna | $14 - $19 | 98% |
| Harvard Pilgrim Healthcare | $14 | 98% |
| Cca Senior Care Options | $14 | 98% |
| Geha | $14 | 98% |
| Blue Cross Blue Shield | $14 - $60 | 98% |
| UnitedHealthcare | $14 | 98% |
| Medicare (plans) | $14 - $15 | 98% |
| Aetna | $14 - $19 | 98% |
| Meritain | $19 | 133% |
| 1199 National Benefit Fund | $19 | 133% |
| Luminare Health | $19 | 133% |
| Magnacare | $19 | 133% |
| Webtpa | $19 | 133% |
| Allegiance | $19 | 133% |
| Health Partners | $19 | 133% |
| Nippon Life Ins | $19 | 133% |
| Gravie Admin Services | $19 | 133% |
| Hap | $19 | 133% |
| Allied Benefit Systems | $19 | 133% |
| Claimdoc | $30 | 210% |
| Innovative Health Plan II | $30 | 210% |
| Diversified Administrators | $30 | 210% |
| Connecticut Dept of Correction | $46 | 322% |
| Health New England | $56 | 392% |
| Blue Shield - Wa (Regence) | $60 | 420% |
| Unicare | $60 | 420% |
| Blue Shield - Ny Highmark Western | $60 | 420% |
| Blue Care Network | $60 | 420% |
| Bcn Domestic | $60 | 420% |
| Blue Shield - Ny Highmark Northeastern | $60 | 420% |
| Kaiser Domestic | $60 | 420% |
| Health Choices | $60 | 420% |
| Wc Domestic | $60 | 420% |
| Blue Shield - Ca | $60 | 420% |
| Blue Shield - Id (Regence) | $60 | 420% |
| Blue Distinction Transplant | $60 | 420% |
| Pre-Employment | $60 | 420% |
| Blue Benefit Administrators of Massachusetts | $60 | 420% |
| Blue Shield - PA (Highmark) | $60 | 420% |
| Mvp | $72 | 505% |
| Allied National Global Care | $72 | 505% |
| Lifetime Benefit Solutions | $72 | 505% |
| Ghc Scw | $72 | 505% |
| Medi Share | $72 | 505% |
| Trinity Health Share | $72 | 505% |
| Christian Care Ministry | $72 | 505% |
| Paramount HMO | $72 | 505% |
| Manhattan Life | $72 | 505% |
| Pai | $72 | 505% |
| Family Life Insurance Company | $72 | 505% |
| Multiplan | $72 | 505% |
| Asrm - Reliance Standard Life Insurance | $72 | 505% |
| PHCS | $72 | 505% |
| Dean Health | $72 | 505% |
| Pan-American Life | $72 | 505% |
| International Benefit Administrators | $72 | 505% |
| Prime Health Services | $85 | 596% |
| Connecticare | $86 - $95 | 603% |
| Health Smart | $90 | 631% |