CMS Price Transparency Data
Hepatitis C antibody test
Facility: Adventist Health White Memorial
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $16
- Cash Discount Price: $53
- vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Adventist Health White Memorial is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.12x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$53
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $53 (371%)
Insurance Median: $16 (112%)
Cash: $53 (371% of Medicare)
Ins. Median: $16 (112% 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
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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 Shield - All Other Plans | $3 - $122 | 21% |
| Blue Shield Epn | $3 - $105 | 21% |
| Blue Shield Mcr Adv | $4 - $132 | 28% |
| Bc Medi-Cal | $5 | 35% |
| Kaiser- All Plans | $5 - $180 | 35% |
| Pacific Ipa - All Other Plans | $5 - $167 | 35% |
| UnitedHealthcare | $5 - $220 | 35% |
| Caremore Mcare - All Plans | $6 - $220 | 42% |
| Hcpamg - All Plans | $6 - $220 | 42% |
| Healthnet - All Other Plans | $6 - $199 | 42% |
| Healthnet Comm Care | $6 - $205 | 42% |
| Western Growers/Pinnacle - All Plans | $6 - $224 | 42% |
| First Heatlh Ppo - All Plans | $7 - $255 | 49% |
| Healthcare Inc - All Other Plans | $7 - $242 | 49% |
| La Care Mcr Adv - All Plans | $7 - $242 | 49% |
| Phcs Ppo - All Plans | $8 - $286 | 56% |
| Scan Health Mcare - All Plans | $8 - $286 | 56% |
| Ahf - All Plans | $9 - $330 | 63% |
| Beech Street - All Plans | $9 - $330 | 63% |
| Interplan Ppo - All Plans | $9 - $330 | 63% |
| Corvel Corp - All Plans | $10 - $352 | 70% |
| Multiplan Ppo - All Plans | $10 - $365 | 70% |
| Fpn Ppo - All Plans | $11 - $396 | 77% |
| Healthmannet - All Plans | $11 - $374 | 77% |
| Next Inc Ppo - All Plans | $11 - $374 | 77% |
| Trpn - All Plans | $11 - $374 | 77% |
| Access Group | $12 | 84% |
| Ahp - All Other Plans | $12 | 84% |
| Lasalle Mg Commercial - All Other Plans | $12 | 84% |
| Access Medi-Cal | $13 - $16 | 91% |
| Ahp Medi-Cal | $13 - $16 | 91% |
| Alta Los Angeles Mcal 1/1/19 | $13 - $16 | 91% |
| Altamed Medi-Cal - All Other Plans | $13 - $19 | 91% |
| Assoc Hispanic Physcns Mcal | $13 - $23 | 91% |
| Avanti Mcal | $13 - $16 | 91% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $13 | 91% |
| Bella Vista Medi-Cal Op/Profee Only | $13 - $16 | 91% |
| Blue Shield Medi-Cal | $13 - $41 | 91% |
| Care First Medi-Cal | $13 - $57 | 91% |
| Fcs Ipa Medi-Cal Op/Profee Only | $13 - $20 | 91% |
| Healthcare Inc Medi-Cal | $13 - $16 | 91% |
| Healthnet Mcal | $13 - $19 | 91% |
| Lasalle Mg Medi-Cal | $13 - $16 | 91% |
| Medi-Cal | $13 - $16 | 91% |
| Molina Medi-Cal | $13 - $16 | 91% |
| Pacific Alliance Medi-Cal | $13 - $16 | 91% |
| Pacific Ipa Medi-Cal | $13 - $16 | 91% |
| Preferred Healthy | $13 - $20 | 91% |
| Preferred Ipa La Care Mcal Cap | $13 - $16 | 91% |
| Preferred Medi-Cal | $13 - $16 | 91% |
| Access Senior - All Other Plans | $14 | 98% |
| Ahp Senior | $14 | 98% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $14 | 98% |
| Altamed Connect | $14 | 98% |
| Avanti Mcr Adv - All Other Plans | $14 | 98% |
| Brand New Day Mcare - All Plans | $14 | 98% |
| Bs Va Mcare | $14 | 98% |
| Care First Mcare - All Other Plans | $14 | 98% |
| Clever Care - All Plans | $14 | 98% |
| Fcs Ipa Mcr Advan Op/Profee Only | $14 | 98% |
| Humana | $14 | 98% |
| Lasalle Mg Senior | $14 | 98% |
| Medicare (plans) | $14 | 98% |
| Molina Mcare | $14 | 98% |
| Pacific Alliance Mcare - All Other Plans | $14 | 98% |
| Preferred Senior | $14 | 98% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $14 | 98% |
| Tricare | $14 | 98% |
| Blue Cross Blue Shield | $15 - $154 | 105% |
| Fcs Ipa Op/Profee Only - All Other Plans | $15 | 105% |
| Bright Health - All Plans | $16 | 112% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $17 | 119% |
| Preferred Commercial - All Other Plans | $17 | 119% |
| Healthnet Mcr Adv | $19 - $673 | 133% |
| Intergrated Medical - All Plans | $19 | 133% |
| Molina Benefit Exchange - All Other Plans | $19 | 133% |
| Php-Prospect Health Plan Cap - All Plans | $21 | 147% |
| Ah Employee Health Plan - All Plans | $26 | 182% |
| Centivo - All Plans | $32 | 224% |
| Cigna | $60 | 420% |
| Aetna | $75 | 526% |