CMS Price Transparency Data

Hepatitis C antibody test

Facility: Seneca District Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $6
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Seneca District Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.42x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $5 (35%)
Insurance Median: $6 (42%)
Cash: $5 (35% of Medicare)
Ins. Median: $6 (42% 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
UnitedHealthcare $2 - $15 14%
Tricare $4 - $10 28%
Blue Cross Blue Shield $5 - $14 35%
Blue Shield Ipf/Ca Exchange $5 - $13 35%
Imperial Hp Ma-All Plans $5 - $12 35%
Alliance- All Plans $6 - $15 42%
Ambetter / Centene $6 - $15 42%
Amthem Bc Mcal $6 - $15 42%
Beech Street Corp- All Plans $6 - $14 42%
Blue Shield Of Ca- All Other Plans $6 - $15 42%
Cigna $6 - $14 42%
Community Care Network - All Plans $6 - $15 42%
Coventry- All Plans $6 - $15 42%
Healthnet - All Other Plans $6 - $15 42%
Integrated Hp-All Plans $6 - $14 42%
Interplan Corp- All Plans $6 - $14 42%
Medi-Cal $6 - $15 42%
Medincrease- All Plans $6 - $14 42%
Multiplan- All Plans $6 - $14 42%
Northern Nevada Health Network- All Plans $6 - $15 42%
Pacificare - All Plans $6 - $14 42%
Partnership Hp-All Plans $6 - $15 42%
Provider Ntwrk Of America-All Plans $6 - $14 42%
Superior California Ppo - All Plans $6 - $15 42%
Three Rivers- All Plans $6 - $15 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Brentwood Drive, Chester, CA 96020
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals