CMS Price Transparency Data

Hepatitis C antibody test

Facility: Marinhealth Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $18
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Marinhealth Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $74 (519%)
Insurance Median: $18 (126%)
Cash: $74 (519% of Medicare)
Ins. Median: $18 (126% 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
Aetna $8 - $30 56%
Blue Cross Blue Shield $8 - $21 56%
Cigna $8 - $43 56%
UnitedHealthcare $8 - $2,330 56%
Brown And Tolan $14 98%
Healthnet Tailored Network $14 98%
Kaiser $14 98%
Marin Cancer Care $14 98%
Canopy Hill Physicians $18 - $82 126%
Healthnet Hmo/Ppo Hill Physicians $18 - $95 126%
Hills Blue Shield Hmo/Ppo $18 - $94 126%
Ca Prison Health Care Services $23 161%
Healthnet Enhancedcare $37 259%
Provider Network Of America $68 477%
Canopy $82 575%
Blue Shield Cpic/Epo $85 596%
Providers Network Of America $90 631%
Blue Shield Hmo/Ppo $94 659%
Healthnet Hmo/Ppo $95 666%
Blue Shield Aco $97 680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals