CMS Price Transparency Data

Hepatitis C antibody test

Facility: Verde Valley Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $27
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Verde Valley Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.89x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $85 (596%)
Insurance Median: $27 (189%)
Cash: $85 (596% of Medicare)
Ins. Median: $27 (189% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $13 - $274 91%
Aetna $14 - $257 98%
Ahcccs $14 98%
Community Health Center Of Yavapai $14 98%
Devoted $14 - $15 98%
Health Choice $14 - $27 98%
Health Choice Integrated Care $14 98%
Health Net Federal $14 98%
Humana $14 98%
Medicare (plans) $14 98%
Mercy Care Advantage $14 98%
Snf Vvmc $14 98%
University Of Arizona Health Plans $14 - $20 98%
Va Pccc Triwest $14 98%
Vvmc 30/70 $14 98%
Wellcare $14 98%
Wellcare By Allwell $14 98%
Mercy Care Rhba $15 105%
Ambetter / Centene $16 112%
Gold Kidney $17 119%
Ahcccs Other $20 140%
Care 1St $20 140%
Health Choice Arizona $20 140%
Health Net Of Arizona $20 140%
Mercy Care $20 140%
Nhi Out Of State Ahcccs $20 140%
Vvmc Jail $20 140%
Pnoa-Provider Network Of America $21 147%
Self Pay $22 - $296 154%
Self-Pay 50% Discount $22 - $148 154%
Naphcare $25 - $29 175%
Blue Cross Blue Shield $26 - $215 182%
Workers Comp $29 - $192 203%
Copperpoint $33 - $215 231%
Cigna $40 - $266 280%
Vvmc 90/10 $40 - $266 280%
Auto Insurance $5,000 35039%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals