CMS Price Transparency Data

Hepatitis C antibody test

Facility: Centinela Hospital Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $12
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Centinela Hospital Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.84x the Medicare baseline. Located in 555 East Hardy Street, Inglewood, CA.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $14 (98%)
Insurance Median: $12 (84%)
Cash: $14 (98% of Medicare)
Ins. Median: $12 (84% 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
Access Medical Group $6 - $21 42%
Aetna $6 - $18 42%
Aids Healthcare Foundation $6 - $15 42%
Americas Choice Provider Network $6 - $19 42%
Avanti Hospitals, Llc $6 - $14 42%
Axminster Medical Group $6 - $21 42%
Blue Cross Blue Shield $6 - $20 42%
Blue Shield Of Ca Triwest Healthcare Ccn $6 - $14 42%
Blue Shield Of Promise $6 - $14 42%
Brand New Day $6 - $21 42%
Centinela Valley Ipa $6 - $22 42%
Corvel $6 - $19 42%
Employer Direct Healthcare $6 - $20 42%
Health Net Of Ca $6 - $21 42%
Healthsmart Preferred Network $6 - $19 42%
Imperial Health Plan $6 - $15 42%
Kindred Hospital La $6 - $14 42%
L.A Care Health Plan $6 - $14 42%
Medicare (plans) $6 - $14 42%
Molina $6 - $14 42%
Multiplan $6 - $19 42%
Naphcare $6 - $22 42%
Occunet $6 - $29 42%
Premier Physicians Network $6 - $22 42%
Prime Health Services $6 - $19 42%
Provider Network Of America $6 - $19 42%
Provider Select $6 - $19 42%
Renal Payer Solutions $6 - $14 42%
Three Rivers Provider Network $6 - $19 42%
Traditional Medi-Cal $6 - $14 42%
Tricare $6 - $14 42%
UnitedHealthcare $6 - $14 42%
Welbe Health Pace $6 - $14 42%
Worker Compensation $6 - $19 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 East Hardy Street, Inglewood, CA 90301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals