CMS Price Transparency Data
Hepatitis C antibody test
Facility: Anaheim Global Medical Center
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $20
- Cash Discount Price: $42
- vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Anaheim Global Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.40x the Medicare baseline. Located in 1025 S Anaheim Blvd, Anaheim, CA.
Cash / Self-Pay
$42
Average discount available for prompt cash payment at this facility.
Insurance Median
$20
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: $42 (294%)
Insurance Median: $20 (140%)
Cash: $42 (294% of Medicare)
Ins. Median: $20 (140% 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 |
|---|---|---|
| Ihhi Reciprocity | $4 - $35 | 28% |
| Velocity National Provider Network Auto Med Ppo | $6 - $53 | 42% |
| First Health | $7 - $62 | 49% |
| Cigna | $8 - $94 | 56% |
| Heritage Provider Network | $8 - $71 | 56% |
| Kaiser | $8 - $73 | 56% |
| Magellan Behavioral Health | $8 - $71 | 56% |
| Primecare Medical Network Inc | $8 - $71 | 56% |
| Health Net | $9 - $86 | 63% |
| Health Net Inc | $9 - $81 | 63% |
| Multiplan | $9 - $83 | 63% |
| Networks By Design | $9 - $83 | 63% |
| Healthsmart Preferred Network | $10 - $88 | 70% |
| Interplan | $10 - $88 | 70% |
| Prime Health Services | $10 - $100 | 70% |
| Provider Network Of America | $10 - $94 | 70% |
| Altamed Health Services | $12 - $14 | 84% |
| Champus | $12 - $15 | 84% |
| Aetna | $13 - $47 | 91% |
| Ahmc Healthcare | $13 - $118 | 91% |
| Altamed | $13 - $20 | 91% |
| Altamed Mcal Hmo (Ancillary) | $13 - $14 | 91% |
| Astiva | $13 - $14 | 91% |
| Blue Shield Of California | $13 - $54 | 91% |
| Brand New Day | $13 - $18 | 91% |
| California Health Plan | $13 - $14 | 91% |
| Caloptima | $13 - $20 | 91% |
| Central Health Plan Of California Inc | $13 - $14 | 91% |
| Champion Health Plan | $13 - $14 | 91% |
| Choc Health Alliance | $13 - $20 | 91% |
| Choice Physicians Network | $13 - $14 | 91% |
| Citizens Choice | $13 - $14 | 91% |
| Clever Care Health Plan | $13 - $14 | 91% |
| County Of Orange | $13 - $118 | 91% |
| Coventry Health | $13 - $16 | 91% |
| Easy Choice | $13 - $14 | 91% |
| Family Choice Mcal | $13 - $20 | 91% |
| For Your Benefit | $13 - $14 | 91% |
| Healthcare Partners | $13 - $14 | 91% |
| Healthcare Partners Sr Hmo | $13 - $14 | 91% |
| Hollywood Presbyerian | $13 - $14 | 91% |
| Hollywood Presbyterian | $13 - $14 | 91% |
| Humana | $13 - $14 | 91% |
| Imperial Health Plan Of Ca | $13 - $14 | 91% |
| Innovative Integrated Health | $13 - $14 | 91% |
| Lucet Bh Scan Sr | $13 - $118 | 91% |
| Managed Health Network | $13 - $118 | 91% |
| Medcare Partners Health Plan | $13 - $14 | 91% |
| Medi-Cal Hmo/Non Contract | $13 | 91% |
| Medicare (plans) | $13 - $14 | 91% |
| Monarch | $13 - $14 | 91% |
| Monarch Health Plan | $13 - $16 | 91% |
| Naphcare | $13 - $22 | 91% |
| Onecare | $13 - $14 | 91% |
| Other Insurance Loa | $13 - $118 | 91% |
| Other Non Contracted Plans | $13 - $118 | 91% |
| Other Sr Non Contract | $13 - $14 | 91% |
| Physicians For Healthy Hospitals | $13 - $14 | 91% |
| Private Pay | $13 - $118 | 91% |
| Prospect Health Plan | $13 - $21 | 91% |
| Scan | $13 - $14 | 91% |
| Self Pay/Ab774/Cbo Use Only | $13 - $14 | 91% |
| St Joseph Hospital Sr | $13 - $14 | 91% |
| State Of California | $13 - $17 | 91% |
| Three Rivers Network | $13 - $25 | 91% |
| UnitedHealthcare | $13 - $14 | 91% |
| Us Dept Of Labor | $13 - $14 | 91% |
| Us Federal Marshall/Department Of Immigration | $13 - $14 | 91% |
| Usbhpc | $13 - $118 | 91% |
| Velocity National Provider Network Sr | $13 - $14 | 91% |
| Velocity National Provider Network Wc | $13 - $17 | 91% |
| Verda Health Plan | $13 - $14 | 91% |
| Veterans Administration | $13 - $14 | 91% |
| Victim Of Violent Crime | $13 - $14 | 91% |
| Victim Of Violent Crime (Mep) | $13 - $14 | 91% |
| Victoria Hospice | $13 - $14 | 91% |
| Healthcare Partners Hmo | $14 - $15 | 98% |
| Align Sr Care | $15 - $16 | 105% |
| Veterans Evaluation Services | $16 - $18 | 112% |
| Staywell/Island Home Ins | $18 - $20 | 126% |
| Velocity National Provider Network Ppo | $23 - $25 | 161% |