CMS Price Transparency Data
Hepatitis C antibody test
Facility: Hoag Memorial Hospital Presbyterian
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$20
about 1.4× the $14 Medicare rate · typically $14–$48
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $20 Cash price $3 Hospital's list price $5
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $17 | 119% |
| Blue Cross Blue Shieldmajor | $82 | 575% |
| Aetnamajor | $14 | 98% |
| Cignamajor | $70 | 491% |
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Other Procedures at Hoag Memorial Hospital Presbyterian
Compare: Hepatitis C antibody test at other CA hospitals
- Alhambra Hospital Medical Center · Alhambra $9
- Shasta Regional Medical Center · Redding $9
- Orchard Hospital · Gridley $9
- Encino Hospital Medical Center · Encino $10
- Sequoia Hospital · Redwood City $10
- Mercy Medical Center Redding · Redding $10
- Kern Medical Center · Bakersfield $10
- Sherman Oaks Hospital · Sherman Oaks $10
Insurance negotiated median for the same procedure, sorted lowest first.