CMS Price Transparency Data
Hepatitis C antibody test
Facility: Monterey Park Hospital
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $14
- Cash Discount Price: $55
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Monterey Park Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$55
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: $55 (385%)
Insurance Median: $14 (98%)
Cash: $55 (385% 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 |
|---|---|---|
| Altamed Health Services Corporation | $1 - $35 | 7% |
| Care 1St M Cal | $1 - $35 | 7% |
| Crown City Medical Group Inc | $1 - $35 | 7% |
| Family Health Alliance Medical Group | $1 - $104 | 7% |
| Garfield Medical Center | $1 - $35 | 7% |
| Physician Healthways | $1 - $87 | 7% |
| Universal Care M Cal/Advantage Health Network | $1 - $35 | 7% |
| Ahmc Healthcare Inc | $2 - $104 | 14% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2 - $104 | 14% |
| Allied Physicians Ipa | $2 - $104 | 14% |
| Alta Med Health Services Corp | $2 - $87 | 14% |
| Bella Vista Medical Group | $2 - $104 | 14% |
| Community Health Plan M Cal Joy Ipa | $2 - $104 | 14% |
| Esperanza Medical Group Ipa | $2 - $104 | 14% |
| Healthcare Partners Affiliates Medical Group | $2 - $124 | 14% |
| Hispanic Physicians Ipa Medical Corporation | $2 - $87 | 14% |
| Pacific Independent Physician Association | $2 - $104 | 14% |
| Tenet Reciprocity | $2 - $104 | 14% |
| Central Health Plan Of California | $3 - $139 | 21% |
| Employee Health Systems Medical Group | $3 - $69 | 21% |
| Global Care Medical Group Ipa | $3 - $156 | 21% |
| Healthnet/Ehs Capitation | $3 - $69 | 21% |
| Molina Medical Centers | $3 - $135 | 21% |
| Alhambra Community Dialysis Unit Inc | $4 - $208 | 28% |
| Blue Cross Blue Shield | $4 - $174 | 28% |
| Blue Shield Of California | $4 - $335 | 28% |
| Care 1St Health Plan | $4 - $208 | 28% |
| Greater Los Angeles Dialysis Inc | $4 - $208 | 28% |
| Health Net Of California | $4 - $208 | 28% |
| La Care Health Plan | $4 - $191 | 28% |
| One Health Plan | $4 - $775 | 28% |
| Aetna | $5 - $253 | 35% |
| Choice Care Network | $5 - $226 | 35% |
| Health Net | $5 - $226 | 35% |
| Health Net Inc | $5 - $246 | 35% |
| Healthnet | $5 - $226 | 35% |
| Interplan | $5 - $260 | 35% |
| UnitedHealthcare | $5 - $243 | 35% |
| Universal Care | $5 - $243 | 35% |
| Bce Emergis Corp | $6 - $295 | 42% |
| Corvel Corporation | $6 - $925 | 42% |
| Multiplan | $6 - $295 | 42% |
| Preferred Health Network | $6 - $278 | 42% |
| Access Ipa Ancillary | $7 - $13 | 49% |
| Accountable Ipa | $7 - $13 | 49% |
| Ahmc Health Epo | $7 - $18 | 49% |
| Aids Health Foundation | $7 - $15 | 49% |
| Alignment Health Plan | $7 - $14 | 49% |
| Allied Physicians | $7 - $21 | 49% |
| Altamed Health Network | $7 - $14 | 49% |
| Altamed Health Services | $7 - $13 | 49% |
| Apa/Aco Inc | $7 - $14 | 49% |
| Applecare Medical Group | $7 - $13 | 49% |
| Asi Flex Ppo W/C | $7 - $17 | 49% |
| Assess Ipa | $7 - $13 | 49% |
| Associated Hispanic Physicians Ancillary | $7 - $13 | 49% |
| Athens Administrators | $7 - $17 | 49% |
| Avanti | $7 - $17 | 49% |
| Bella Vista Medical Group Ancillary | $7 - $13 | 49% |
| Beverly Hospital | $7 - $16 | 49% |
| Brand New Day | $7 - $18 | 49% |
| Caloptima Direct | $7 - $21 | 49% |
| Care 1St Mcl/Gar Cap | $7 - $13 | 49% |
| Central Health Plan | $7 - $13 | 49% |
| Cms | $7 - $14 | 49% |
| Commercial Non Contract | $7 - $347 | 49% |
| Community Health Plan | $7 - $13 | 49% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $7 - $14 | 49% |
| Easy Choice Health Plan | $7 - $14 | 49% |
| Emanate Health | $7 - $18 | 49% |
| First Health Senior | $7 - $14 | 49% |
| Foundation Health Plan | $7 - $14 | 49% |
| Health Net Medi Cal | $7 - $13 | 49% |
| Healthnet Inc | $7 - $13 | 49% |
| Healthy Way La | $7 - $13 | 49% |
| Hollywood Presbyterian Adv Med Mcal | $7 - $15 | 49% |
| Hollywood Presbyterian Medpoint Mcal | $7 - $15 | 49% |
| Humana | $7 - $14 | 49% |
| Indemnity W Comp Fee Schedule | $7 - $17 | 49% |
| Knox-Keene Act | $7 - $18 | 49% |
| La Care | $7 - $14 | 49% |
| La Care Covered Direct | $7 - $14 | 49% |
| Maxi Med Inc/Ipa | $7 - $15 | 49% |
| Medi Cal | $7 - $15 | 49% |
| Medical Managed Care Program | $7 - $13 | 49% |
| Medicare (plans) | $7 - $15 | 49% |
| Molina Healthcare | $7 - $13 | 49% |
| Molina Healthcare Medi-Connect | $7 - $15 | 49% |
| Molina Healthcare Of California | $7 - $18 | 49% |
| Mri/Ct Greater El Monte Hospital | $7 - $347 | 49% |
| Mri/Mra/Alhambra Hospital | $7 - $347 | 49% |
| Mri/Mra/Eladh | $7 - $347 | 49% |
| One Legacy | $7 - $347 | 49% |
| Other Non-Contracted Medi-Cal | $7 - $13 | 49% |
| Preferred Ipa | $7 - $18 | 49% |
| Preferred Ipa Of California | $7 - $13 | 49% |
| San Miguel Health Plan | $7 - $16 | 49% |
| Scan Health Plan | $7 - $14 | 49% |
| Secure Horizons | $7 - $14 | 49% |
| Self-Pay | $7 - $14 | 49% |
| Senior Citizens Choice | $7 - $13 | 49% |
| Ucla/Impact Cancer | $7 - $14 | 49% |
| Veterans Administration | $7 - $10 | 49% |
| Cigna | $17 | 119% |
| Pacificare | $29 - $57 | 203% |