CMS Price Transparency Data

Hepatitis C antibody test

Facility: Western Arizona Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $26
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Western Arizona Regional Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 2735 Silver Creek Road, Bullhead City, AZ.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $84 (589%)
Insurance Median: $26 (182%)
Cash: $84 (589% of Medicare)
Ins. Median: $26 (182% 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
Medicaid / KanCare $10 - $15 70%
Health Direct Partners $14 98%
Healthnet $14 98%
Humana $14 98%
Laughlin Healthcare $14 98%
Medicare (plans) $14 98%
Node Champva $14 98%
Node Health Choice Mcr Adv $14 98%
Node Non Par Hospice Agree $14 98%
Node Triwest $14 98%
Node Va $14 98%
Tricare $14 98%
Veterans Eval Services $14 98%
Aetna $15 - $314 105%
Care1St $15 105%
Magellan $15 105%
Mercy Care Mcr Adv $15 105%
Node Banner Mcr Adv $15 105%
Node Devoted Health Mcr Adv $15 105%
Onecare $15 105%
Mercy Care $16 112%
Node Us Dept Of Labor $18 126%
Node Az Complete Health Exchange $24 168%
Node Health Choice Integrated Care $26 182%
Node Health Choice Health Exchange $36 252%
UnitedHealthcare $36 - $358 252%
Blue Cross Blue Shield $37 - $102 259%
Self Pay $61 - $107 427%
Cigna $220 1542%
Sierra Health Plan $255 - $306 1787%
Coventry Work Comp Al $306 2144%
Multiplan Primary $326 2285%
Multiplan $351 2460%
Three Rivers $433 3034%
First Health Coventry $458 3210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2735 Silver Creek Road, Bullhead City, AZ 86442
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals