CMS Price Transparency Data
Hepatitis C antibody test
Facility: Valley Children's Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$21
about 1.5× the $14 Medicare rate · typically $14–$37
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $21 Hospital's list price $8
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
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 | $4 - $31 | 28% |
| Blue Cross Blue Shieldmajor | $5 - $141 | 35% |
| Aetnamajor | $5 | 35% |
| Kaiser Permanentemajor | $5 - $29 | 35% |
| Health Net | $3 - $5 | 21% |
| + 26 smaller / regional plans | $4 - $40 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Valley Children's Hospital
Compare: Hepatitis C antibody test at other CA hospitals
- Alhambra Hospital Medical Center · Alhambra $9
- Shasta Regional Medical Center · Redding $9
- Orchard Hospital · Gridley $9
- Encino Hospital Medical Center · Encino $10
- Sequoia Hospital · Redwood City $10
- Mercy Medical Center Redding · Redding $10
- Kern Medical Center · Bakersfield $10
- Sherman Oaks Hospital · Sherman Oaks $10
Insurance negotiated median for the same procedure, sorted lowest first.