CMS Price Transparency Data

Hepatitis C antibody test

Facility: Banner Desert Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $21
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Banner Desert Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 1400 South Dobson Road, Mesa, AZ.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $48 (336%)
Insurance Median: $21 (147%)
Cash: $48 (336% of Medicare)
Ins. Median: $21 (147% 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
Aetna $14 - $98 98%
Arizona Physicians Ipa $14 98%
Banner Health $14 98%
Banner University Health Plan $14 98%
Blue Cross Blue Shield $14 - $65 98%
Care 1St $14 98%
Cigna $14 - $28 98%
Gila River Health Care Corporation $14 98%
Health Choice Arizona, Inc. $14 - $21 98%
Health Net $14 - $21 98%
Humana $14 - $15 98%
Kaiser Foundation Health Plan $14 98%
Mercy Care $14 98%
Triwest Healthcare Alliance Corp - Va Ccn $14 98%
UnitedHealthcare $14 - $32 98%
Upmc Health Plan $14 98%
Wellpoint $14 98%
Carelon $15 105%
Devoted Health Services $15 105%
Arizona Priority Care $16 112%
Gold Kidney Health Plan $16 112%
Naphcare $19 133%
Oscar Health Plan $24 168%
Hospice Of The Valley $65 456%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $83 582%
Plotkin Health $83 582%
Quiktrip Corporation $100 701%
Arizona Medical Network $130 911%
Provider Network Of America $139 974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 South Dobson Road, Mesa, AZ 85202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals