Hepatitis C antibody test
Facility: Ohio Valley Surgical Hospital
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $11,885
- Cash Discount Price: $108
- vs. Medicare Baseline: 832.87x 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 83287% of the Medicare baseline (a markup of 83187%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $2 - $40,293 | 14% |
| UnitedHealthcare | $17 - $17,571 | 119% |
| Ngs Coresource | $20 - $20,896 | 140% |
| Genworth | $20 - $20,896 | 140% |
| Nippon Life | $20 - $20,896 | 140% |
| Pacific Source | $20 - $20,896 | 140% |
| Mhbp | $20 - $20,896 | 140% |
| Meritain | $20 - $20,896 | 140% |
| Personify Health | $20 - $20,896 | 140% |
| Meritain Heatlh | $20 - $20,896 | 140% |
| Aetna | $20 - $20,896 | 140% |
| Mail Handlers | $20 - $20,896 | 140% |
| Geha | $20 - $20,896 | 140% |
| Mmoh | $81 - $11,885 | 568% |
| Mmoh (Supermed) | $83 - $84 | 582% |
| Mmo Cin. HMO | $83 - $113 | 582% |
| Medicare (plans) | $108 - $12,264 | 757% |
| Luminare Health | $162 | 1135% |
| Medben | $162 | 1135% |
| Ohio Health | $162 | 1135% |
| Preferred Health | $162 | 1135% |
| Medicaid / KanCare | $3,557 - $17,827 | 24926% |
| Amerihealth Caritas of Ohio | $3,657 | 25627% |
| Buckeye Community Health Plan | $4,022 | 28185% |
| Molina McD | $4,084 | 28619% |
| Caresource | $4,364 - $17,827 | 30582% |
| Humana | $4,493 - $11,919 | 31486% |
| Aarp | $11,885 | 83287% |
| American Republic | $11,885 | 83287% |
| Molina McR+McD | $11,885 | 83287% |
| American Continental Life | $11,885 | 83287% |
| American Continental Insurance | $11,885 | 83287% |
| Gateway Health Plan | $11,885 | 83287% |
| Bankers Fidelity | $11,885 | 83287% |
| Central States | $11,885 | 83287% |
| Molina McR McD | $11,885 | 83287% |
| Molina Dual McR | $11,885 | 83287% |
| Wraparound Pl Supp | $11,885 | 83287% |
| Medigold | $11,885 | 83287% |
| Molina Marketplace | $11,885 | 83287% |
| Cigna | $11,885 - $18,817 | 83287% |
| Communicare Advantage | $11,885 | 83287% |
| Aultcare Primetime Health Plan | $11,885 | 83287% |
| Self Pay Imaging | $11,885 | 83287% |
| Everest | $11,885 | 83287% |
| Bankers Life and Casualty | $11,885 | 83287% |
| American Retirement | $11,885 | 83287% |
| Molina | $11,885 | 83287% |
| Champus | $11,885 | 83287% |
| Patient No Pay | $11,885 | 83287% |
| Molina Dual McR | $11,885 | 83287% |
| Wellcare By Allwell | $11,885 | 83287% |
| Prosperity Supplement | $11,885 | 83287% |
| Molina McR | $11,885 | 83287% |
| Aarp Supplemental | $11,885 | 83287% |
| The Health Plan | $12,479 | 87449% |
| Devoted Health | $13,707 | 96055% |
| Employer Direct | $15,703 | 110042% |
| Surest | $17,571 | 123132% |
| Golden Rule | $17,571 | 123132% |
| Oxford | $17,571 | 123132% |
| Medica | $17,571 | 123132% |
| Ushealth | $17,571 | 123132% |
| Shl | $17,571 | 123132% |
| Caresourse | $17,827 | 124926% |
| Unified Group | $18,817 | 131864% |
| Samba | $18,817 | 131864% |
| Healthgram | $18,817 | 131864% |
| Nalc | $18,817 | 131864% |
| Sbma | $18,817 | 131864% |