Hepatitis C antibody test
Facility: Mercy St Francis Hospital
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $192
- Cash Discount Price: $138
- vs. Medicare Baseline: 13.45x 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 1345% of the Medicare baseline (a markup of 1245%). 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 |
|---|---|---|
| UnitedHealthcare | $14 - $202 | 98% |
| Medicaid / KanCare | $14 - $111 | 98% |
| Blue Cross Blue Shield | $14 - $207 | 98% |
| Medicare (plans) | $15 - $76 | 105% |
| Humana | $59 - $192 | 413% |
| Aetna | $59 - $190 | 413% |
| Mercy Hospice Okc [20252] | $59 - $73 | 413% |
| Medical Associates Health Contracted [320444] | $59 - $73 | 413% |
| Halo Hcr Inc Hospice [20432] | $59 - $73 | 413% |
| Kindful Hospice [20434] | $59 - $73 | 413% |
| Kindful Hospice Contracted [320434] | $59 - $73 | 413% |
| Mercy Mgd Behavioral Health Contracted [320259] | $59 - $73 | 413% |
| Elara Caring Aspire Hospice [20433] | $59 - $73 | 413% |
| Pace of the Ozarks Contracted [320518] | $59 - $73 | 413% |
| Cross Timbers Hospice [20098] | $59 - $73 | 413% |
| Provider Partners Health Plans Contracted [320450] | $59 - $73 | 413% |
| Acentra Health Contracted [320527] | $59 | 413% |
| Cherokee Nation Health Serv Contracted [320066] | $59 - $73 | 413% |
| Dept of Veteran Affairs Contracted [320106] | $59 - $73 | 413% |
| Qual Choice Contracted [320325] | $59 - $73 | 413% |
| Indian Health Service Contracted [320198] | $59 - $73 | 413% |
| Halo Hcr Inc Hospice Contracted [320432] | $59 - $73 | 413% |
| Cigna | $59 - $202 | 413% |
| Globalhealth Contracted [320145] | $59 - $73 | 413% |
| Tricare | $72 | 505% |
| Healthscope Contracted [320182] | $73 - $97 | 512% |
| Administrative Payor Contracted [320005] | $96 | 673% |
| Centivo Contracted [320505] | $97 - $124 | 680% |
| Ambetter / Centene | $111 | 778% |
| Home State Health Plan Contracted [320187] | $111 | 778% |
| Novasys Contracted [320285] | $111 | 778% |
| Healthlink Contracted [320179] | $138 - $202 | 967% |
| Preferred Health Plan Contracted [320522] | $138 | 967% |
| Workers Comp [20426] | $170 - $181 | 1191% |
| Auxiant Contracted [320462] | $192 - $202 | 1345% |
| Mercy Benefit Admin Contracted [320251] | $192 - $202 | 1345% |
| United Medical Resources Contracted [320454] | $192 - $198 | 1345% |
| Point C Contracted [320238] | $192 - $202 | 1345% |
| Medica Contracted [320239] | $201 | 1409% |
| First Health Contracted [320128] | $202 | 1416% |
| Aither Health Contracted [320449] | $202 | 1416% |
| Reflect Health Contracted [320492] | $202 | 1416% |
| USA Managed Care Org Contracted [320429] | $202 | 1416% |
| Evolutions Health Care Contracted [320124] | $202 | 1416% |
| Edison Health Solutions Contracted [320502] | $202 | 1416% |
| Show-Me Health Administrators Contracted [320483] | $202 | 1416% |
| Multiplan Contracted [320270] | $202 | 1416% |
| Imagine 360 Contracted [320494] | $202 | 1416% |
| Insurance System Inc Contracted [320465] | $202 | 1416% |
| Private Health Care Systems Contracted [320320] | $202 | 1416% |
| Yuzu Health Contracted [320521] | $202 | 1416% |
| Benefit Management Contracted [320052] | $202 | 1416% |
| Point C [20238] | $202 | 1416% |
| Ebms Contracted [320493] | $202 | 1416% |
| 90 Degree Benefits Contracted [320436] | $202 | 1416% |
| Health Systems Inc Contracted [320174] | $202 | 1416% |