CMS Price Transparency Data

Hepatitis C antibody test

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16
about 1.1× the $14 Medicare rate · typically $13–$31
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $14 Fair price $16 This hospital $17 Cash price $26 Hospital's list price $64

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $17

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis C antibody test is about $16 (about 1.1× the $14 Medicare rate). Southwest Healthcare Rancho Springs Hospital charges insurers about $17, or about $26 in cash — about the fair price. Located in Murrieta, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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
UnitedHealthcaremajor $14 - $17 98%
Blue Cross Blue Shieldmajor $21 - $180 147%
Aetnamajor $86 603%
Cignamajor $6 - $40 42%
Kaiser Permanentemajor $5 - $33 35%
Health Net $6 - $38 42%
+ 6 smaller / regional plans $7 - $100
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 25500 Medical Center Drive, Murrieta, CA 92562
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals