CMS Price Transparency Data

Hepatitis C antibody test

Facility: Garfield Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14
about 1.0× the $14 Medicare rate · typically $9–$22
modeled estimate · not a bill or quote
What this hospital charges insurers
$13
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $14 Fair price $14 This hospital $13 Cash price $25 Hospital's list price $25

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 $13

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 $14 (about 1.0× the $14 Medicare rate). Garfield Medical Center charges insurers about $13, or about $25 in cash — about the fair price. Located in Monterey Park, 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✓ Humana Kaiser Permanente

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 $2 - $200 14%
Blue Cross Blue Shieldmajor $5 - $201 35%
Aetnamajor $7 - $243 49%
Cignamajor $16 112%
Humanamajor $10 - $14 70%
Health Net $4 - $281 28%
Molina $4 - $130 28%
Presbyterian $10 - $14 70%
Sentara $10 - $21 70%
+ 50 smaller / regional plans $2 - $334
Government programs also on file: Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 525 N Garfield Ave, Monterey Park, CA 91754
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals