CMS Price Transparency Data
Hepatitis C antibody test
Facility: Pomona Valley Hospital Medical Center
Billing Code: 86803 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$21
about 1.5× the $14 Medicare rate · typically $15–$131
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $21 Cash price $11
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $112 - $215 | 785% |
| Aetnamajor | $145 | 1016% |
| Cignamajor | $41 | 287% |
Self-Pay How to get the cash price
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Other Procedures at Pomona Valley Hospital Medical Center
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.