CMS Price Transparency Data
Hepatitis C antibody test
Facility: Whittier Hospital Medical Center
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $14
- Cash Discount Price: $4
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Whittier Hospital Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$4
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: $4 (28%)
Insurance Median: $14 (98%)
Cash: $4 (28% 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.
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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 |
|---|---|---|
| Physician Healthways | $2 - $17 | 14% |
| Physicians Healthways Medical Corporation | $2 - $42 | 14% |
| Ahmc Reciprocity | $3 - $50 | 21% |
| Ahmc Reciprocity Agreement Senior/Commercial | $3 - $50 | 21% |
| Blue Cross Blue Shield | $3 - $84 | 21% |
| Edward Medical Group | $3 - $59 | 21% |
| Molina Medical Center | $3 - $66 | 21% |
| Pacific Independent Physician Association | $3 - $50 | 21% |
| Wear And Wood | $3 - $67 | 21% |
| Allied Physicians Ipa | $4 - $76 | 28% |
| Blue Shield Of California | $4 - $198 | 28% |
| Central Health Plan Of California | $4 - $67 | 28% |
| UnitedHealthcare | $4 - $162 | 28% |
| Care 1St Health Plan | $5 - $101 | 35% |
| Health Net | $5 - $100 | 35% |
| La Care Health Plan | $5 - $92 | 35% |
| New Horizon Medical Group Inc | $5 - $101 | 35% |
| Prospect Medical | $5 - $92 | 35% |
| Aetna | $6 - $122 | 42% |
| Asi/Flex | $6 - $118 | 42% |
| Cost Containment | $6 - $109 | 42% |
| Davita Healthcare Partners | $6 - $109 | 42% |
| Health Net Inc | $6 - $109 | 42% |
| Healthnet | $6 - $117 | 42% |
| Kaiser Foundation | $6 - $118 | 42% |
| Universal Care | $6 - $118 | 42% |
| Us Comp Care | $6 - $118 | 42% |
| Value Healthplan Of California | $6 - $118 | 42% |
| Capnet | $7 | 49% |
| Community Care Network | $7 - $126 | 49% |
| Coventry Health Care | $7 - $126 | 49% |
| Coventry Health Care National Network | $7 - $126 | 49% |
| Fmc Los Angeles County | $7 - $126 | 49% |
| Interplan Corporation | $7 - $126 | 49% |
| Managed Care Administrators | $7 - $126 | 49% |
| Prohealth | $7 - $126 | 49% |
| Multiplan | $8 - $143 | 56% |
| Ahmc Health | $9 - $18 | 63% |
| Ahmc Medi-Cal Reciprocity Agreement | $9 - $13 | 63% |
| Aids Healthcare Foundation | $9 - $14 | 63% |
| Alignment Health Plan | $9 - $14 | 63% |
| Allied Physicians | $9 - $21 | 63% |
| Alta Los Angeles Hospitals Inc | $9 - $14 | 63% |
| Alta Med Health Network | $9 - $14 | 63% |
| Altamed Health Services Corporation | $9 - $13 | 63% |
| Apa/Aco Inc | $9 - $14 | 63% |
| Applecare Medical Group | $9 - $17 | 63% |
| Athens Administrators Ahmc Work Comp | $9 - $17 | 63% |
| Avanti | $9 - $17 | 63% |
| Beverly Hospital | $9 - $16 | 63% |
| Brand New Day | $9 - $17 | 63% |
| Caloptima | $9 - $18 | 63% |
| Care First Health Plan | $9 - $14 | 63% |
| Caremore | $9 - $14 | 63% |
| Central Health Plan | $9 - $14 | 63% |
| Commercial Non Contract | $9 - $168 | 63% |
| County Of Los Angeles Dept Of Health Services | $9 - $14 | 63% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $9 - $14 | 63% |
| Easy Choice Health Plan | $9 - $14 | 63% |
| Emanate Health | $9 - $17 | 63% |
| Healthy Way La | $9 - $13 | 63% |
| Heritage Provider Network | $9 - $19 | 63% |
| Hollywood Presbyterian Adv Med Mcal | $9 - $14 | 63% |
| Hollywood Presbyterian Medpoint Mcal | $9 - $14 | 63% |
| Humana | $9 - $14 | 63% |
| Interplan Health Group | $9 - $17 | 63% |
| Knox-Keene Act | $9 - $18 | 63% |
| La Care Covered Direct | $9 - $14 | 63% |
| La Care Healthy Families/Healthy Kids | $9 - $13 | 63% |
| Medi Caid/ Medi Cal | $9 - $14 | 63% |
| Medi-Cal Sub Acute | $9 - $168 | 63% |
| Medicare (plans) | $9 - $15 | 63% |
| Misc 1 | $9 - $17 | 63% |
| Molina Healthcare Of California | $9 - $15 | 63% |
| Monarch Healthplan | $9 - $18 | 63% |
| Multiplan Wc | $9 - $17 | 63% |
| Non Contracted Medi-Cal | $9 - $13 | 63% |
| One Legacy | $9 - $168 | 63% |
| Pacific Alliance Medical Center | $9 - $14 | 63% |
| Pacificare Of California | $9 - $14 | 63% |
| Private Pay | $9 - $14 | 63% |
| Prospect Health Plan | $9 - $23 | 63% |
| San Miguel Health Plan | $9 - $16 | 63% |
| Scan Health Plan | $9 - $14 | 63% |
| Self-Pay | $9 - $14 | 63% |
| Synermed | $9 - $14 | 63% |
| Tricare | $9 - $16 | 63% |
| Veterans Administration | $9 - $10 | 63% |
| Chinatown Service Center Pace | $11 - $17 | 77% |
| Cigna | $17 | 119% |
| Great-West Healthcare Of California | $2,500 | 17519% |