CMS Price Transparency Data
Hepatitis C antibody test
Facility: Menifee Global Medical Center
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $23
- Cash Discount Price: $122
- vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Menifee Global Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.61x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$122
Average discount available for prompt cash payment at this facility.
Insurance Median
$23
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: $122 (855%)
Insurance Median: $23 (161%)
Cash: $122 (855% of Medicare)
Ins. Median: $23 (161% 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
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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 | $13 | 91% |
| Ic | $13 - $183 | 91% |
| Kaiser Medi-Cal | $13 | 91% |
| Tricare | $13 - $14 | 91% |
| Aetna | $14 - $116 | 98% |
| Altamed Comm Hmo (Ancillary) | $14 - $183 | 98% |
| Altamed Health Services Senior | $14 | 98% |
| Altamed Sr/Pace | $14 | 98% |
| Blue Shield Senior | $14 | 98% |
| Central Health Plan Senior | $14 | 98% |
| Clever Care Health Plan Sr | $14 | 98% |
| For Your Benefit Senior | $14 | 98% |
| Guidant Health Plan Senior | $14 | 98% |
| Health Net Medi-Cal | $14 | 98% |
| Health Net Senior | $14 | 98% |
| Hpn Mcal | $14 | 98% |
| Hpn Senior | $14 | 98% |
| Humana | $14 | 98% |
| Imperial Health Plan Of Ca | $14 | 98% |
| Kaiser Senior | $14 | 98% |
| Lasalle Medical Assoc (Ancillary) Commercial | $14 | 98% |
| Lasalle Medical Assoc (Ancillary) Senior | $14 | 98% |
| Managed Health Network Sr | $14 | 98% |
| Medicare (plans) | $14 | 98% |
| Neighborhood Healthcare Pace | $14 | 98% |
| Point Comfort Underwriters | $14 | 98% |
| Primecare Senior | $14 | 98% |
| Prospect Health Plan Sr Hmo | $14 | 98% |
| Scan Senior | $14 | 98% |
| Self Pay/Ab774/Charity Discount | $14 | 98% |
| Sr Capitation | $14 | 98% |
| UnitedHealthcare | $14 - $17 | 98% |
| Veterans Administration | $14 | 98% |
| Coventry | $15 - $16 | 105% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $15 | 105% |
| Molina Medi-Cal | $15 | 105% |
| Prime Health Services Wcomp | $15 | 105% |
| Prospect Health Plan Mcal Hmo | $15 | 105% |
| Align Senior Care | $16 | 112% |
| Prime Health Services Senior | $16 | 112% |
| Welbehealth Sr/Pace | $16 | 112% |
| Three Rivers Wcomp | $17 | 119% |
| Workers Comp Non-Contracted | $17 | 119% |
| Iehp Covered Ca | $18 | 126% |
| Molina Covered Ca | $18 | 126% |
| Iehp Medi-Cal | $19 | 133% |
| Prospect Health Plan Comm Hmo | $19 | 133% |
| Altamed Mcal Hmo | $20 | 140% |
| Altamed Mcal/Pace | $20 | 140% |
| Choice Physicians Network | $20 | 140% |
| Health Net Enhanced Ppo | $20 | 140% |
| Hpn Commercial/Covered Ca | $20 | 140% |
| Health Net Comm | $21 | 147% |
| Three Rivers Network | $25 | 175% |
| Velocity | $25 - $82 | 175% |
| Cigna | $28 - $146 | 196% |
| First Health Commercial | $32 - $96 | 224% |
| Blue Shield Epn | $40 | 280% |
| Primecare Commercial | $40 - $119 | 280% |
| Multiplan Ppo | $43 - $128 | 301% |
| Multiplan Wcomp | $43 - $128 | 301% |
| Blue Shield Commercial | $47 | 329% |
| Pnoa-Provider Network Of America | $49 - $146 | 343% |
| Prime Health Services Commercial | $49 - $146 | 343% |
| Ava Hospice | $61 - $183 | 427% |
| Kaiser Commercial | $61 - $183 | 427% |
| Living Waters Hospice | $61 - $183 | 427% |
| Managed Health Network | $61 - $183 | 427% |
| Other Insurance Loa | $61 - $183 | 427% |
| Pacific Valley Hospice | $61 - $183 | 427% |
| Private Pay | $61 - $183 | 427% |
| Silverado Hospice | $61 - $183 | 427% |
| Vna Hospice | $61 - $183 | 427% |