CMS Price Transparency Data

Hepatitis C antibody test

Facility: Wilcox Memorial 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 $15–$21
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
about $1 under the fair price · 1.4× Medicare
Medicare pays $14 Fair price $21 This hospital $20 Cash price $97 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 0 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $14 Priciest $20

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis C antibody test is about $21 (about 1.5× the $14 Medicare rate). Wilcox Memorial Hospital charges insurers about $20, or about $97 in cash — about the fair price. Located in Lihue, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $20 140%
Kaiser Permanentemajor $78 - $144 547%
Devoted Health $15 105%
+ 8 smaller / regional plans $14 - $51
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals