CMS Price Transparency Data

Hepatitis C antibody test

Facility: Centura Health-St Anthony North Health Campus

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $26
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Centura Health-St Anthony North Health Campus is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.82x the Medicare baseline. Located in 14300 Orchard Pkwy, Westminster, CO.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $74 (519%)
Insurance Median: $26 (182%)
Cash: $74 (519% of Medicare)
Ins. Median: $26 (182% 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
Aetna $14 - $31 98%
Blue Cross Blue Shield $14 - $163 98%
Cigna $14 - $19 98%
Denver Health $14 - $44 98%
Devoted Health $14 98%
Humana $14 98%
Innovage $14 98%
Kaiser $14 - $61 98%
Medicare (plans) $14 98%
True Pace $14 98%
UnitedHealthcare $14 - $21 98%
Centura Employee Plan $18 126%
United Colorado Doctor'S Plan $21 147%
Direct To Employer $25 - $74 175%
Peak Health $72 505%
Multiplan $130 - $157 911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14300 Orchard Pkwy, Westminster, CO 80023
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals