CMS Price Transparency Data

Hepatitis C antibody test

Facility: Alhambra Hospital Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Alhambra Hospital Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.63x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $9 (63%)
Insurance Median: $9 (63%)
Cash: $9 (63% of Medicare)
Ins. Median: $9 (63% 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
Ahmc-Reciprocity-Comm/Senior $2 - $124 14%
Allied Physicians Comm/Sr $3 - $144 21%
Allied Physicians Medi-Cal $3 - $144 21%
Health Net Exchange Enhanced Ppo $3 - $175 21%
Molina Health Plan $3 - $161 21%
Self Pay $3 - $165 21%
Wellcare Allied Senior Hmo $3 - $144 21%
Cigna $4 - $185 28%
Medicare (plans) $4 - $247 28%
Kaiser Commercial $5 - $255 35%
Scan Senior Plan $5 - $268 35%
Multiplan $7 - $330 49%
Aetna $8 - $24 56%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $8 - $13 56%
Alignment Senior Hmo $8 - $15 56%
Allied Physicians Of Ca Medi-Cal $8 - $14 56%
Altamed Senior Services $8 - $14 56%
Apa Aco $8 - $14 56%
Blue Cross Blue Shield $8 - $27 56%
Blue Shield 65 Plus $8 - $13 56%
Brand New Day Sr $8 - $14 56%
Central Health Plan Of Ca Senior Hmo $8 - $14 56%
Citrus Valley Health Partners $8 - $13 56%
Health Net Medi-Cal $8 - $14 56%
Health Net Senior Hmo $8 - $14 56%
Humana $8 - $14 56%
Kaiser Medi-Cal $8 - $13 56%
La Care Exchange $8 - $14 56%
La Care Medi-Cal Hmo $8 - $14 56%
La Care Pasc Seiu Misc $8 - $13 56%
Medi-Cal $8 - $14 56%
Miscellaneous Commercial Ppo/Hmo $8 - $412 56%
Miscellaneous Medi-Cal Hmo $8 - $13 56%
Miscellaneous Senior Hmo $8 - $14 56%
Miscellaneous Work Comp Hmo $8 - $17 56%
Stewart Mg Senior Hmo $8 - $10 56%
Tricare $8 - $16 56%
UnitedHealthcare $8 - $29 56%
Wellcare Senior Hmo $8 - $14 56%
Health Net Exchange $10 - $18 70%
Health Net Salud Con Hmo $10 - $17 70%
Molina Exchange $10 - $17 70%
Ahmc Health $12 - $21 84%
Allied Physicians Of Ca Commercial $12 - $21 84%
Health Net Ppo/Epo/Pos $17 - $30 119%
Blue Shield Value Network Exchange $178 1247%
Blue Shield Hmo/Ppo $198 1388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals