CMS Price Transparency Data

Hepatitis C antibody test

Facility: Washington Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Washington Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $44 (308%)
Insurance Median: $14 (98%)
Cash: $44 (308% of Medicare)
Ins. Median: $14 (98% 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
Health Net/Healthy Family/Aim $2 - $25 14%
Alameda Alliance Ppo-All Other Plans $3 - $37 21%
Blue Cross Blue Shield $6 - $90 42%
Blue Shield Eppo $6 - $65 42%
Canopy-All Other Plans $6 - $63 42%
Kaiser - All Other Plans $6 - $67 42%
Cigna $7 - $99 49%
Healthnet Comm - All Other Plans $7 - $75 49%
UnitedHealthcare $7 - $107 49%
Aetna $8 - $86 56%
Blue Shield Hmo $8 - $83 56%
County Of Santa Clara-All Plans $8 - $93 56%
Pacific Health Alliance Epo $8 - $87 56%
Standford Health Services-All Plans $8 - $87 56%
Blue Shield Ppo - All Other Plans $9 - $97 63%
Pacific Foundation Epo $9 - $99 63%
Cna (Mailhandlers)-All Plans $10 - $112 70%
Corvel-All Plans $10 - $105 70%
First Health -All Plans $10 - $112 70%
Humana $10 - $112 70%
Interplan B-2 Ppo $10 - $105 70%
Interplan B-4 Ppo-All Other Plans $10 - $109 70%
Masonic Homes Ppo-All Plans $10 - $105 70%
Multiplan Ppo-All Plans $10 - $105 70%
Pacific Foundation Ppo-All Other Plans $10 - $112 70%
Pacific Health Alliance Ppo-All Other Plans $10 - $105 70%
Phcs/Private Healthcare Systems-All Plans $10 - $112 70%
Preferred Health Network-All Plans $10 - $105 70%
Three Rivers Provider Network-All Plans $10 - $112 70%
Beech Street-All Plans $11 - $118 77%
Kaiser Medi-Cal $11 - $16 77%
Medi-Cal $11 - $16 77%
Alameda Alliance Mcr Adv $14 98%
Blue Shield Mcr Adv $14 98%
Brand New Day Mcr Adv - All Plans $14 98%
Canopy Mcr Adv $14 98%
Central Hlth Mcr Adv - All Plans $14 98%
Health Net Sr Plus Hmo $14 98%
Kaiser Mcr Adv $14 98%
On Lok Senior Health Services-All Plans $14 98%
Tricare $14 98%
Va (Triwest Ccn)-All Plans $14 98%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals