CMS Price Transparency Data

Hepatitis C antibody test

Facility: West Anaheim Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at West Anaheim Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 3033 W Orange Avenue, Anaheim, CA.
Cash / Self-Pay
$14

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: $14 (98%)
Insurance Median: $14 (98%)
Cash: $14 (98% 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
Blue Cross Blue Shield $14 98%
Blue Shield Of Ca Triwest $14 98%
Brand New Day $14 - $21 98%
Caloptima $14 98%
Central Health Plan $14 98%
Health Net Of Ca $14 - $21 98%
Health Net Of Ca Mhn (Bh) $14 98%
Medicare (plans) $14 98%
Molina $14 98%
Renal Payor Solutions $14 98%
Traditional Medi-Cal $14 98%
Tricare $14 98%
Verda Health Plan $14 98%
Imperial Health Plan Of Ca Inc $15 105%
Aetna $18 126%
Health Net Federal Services $18 126%
Ca Foundation For Medical Care $19 133%
Workers Compensation $19 133%
Employer Direct Healthcare Surgery Plus $20 140%
Naphcare (Santa Ana - County Jail) $22 154%
Naphcare Residential Treatment Center $22 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3033 W Orange Avenue, Anaheim, CA 92804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals