CMS Price Transparency Data
Hepatitis C antibody test
Facility: Boundary Community Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$42
about 3.0× the $14 Medicare rate · typically $15–$72
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $42 Cash price $63 Hospital's list price $79
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✓ Cigna HumanaKaiser Permanente
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 | $43 - $67 | 301% |
| Blue Cross Blue Shieldmajor | $11 | 77% |
| Aetnamajor | $51 | 357% |
| Cignamajor | $114 | 799% |
| Molina | $14 - $47 | 98% |
| PacificSource | $77 | 540% |
| + 2 smaller / regional plans | $74 - $76 |
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Other Procedures at Boundary Community Hospital
Compare: Hepatitis C antibody test at other ID hospitals
- West Valley Medical Center · Caldwell $14
- Eastern Idaho Regional Medical Center · Idaho Falls $14
- Madison Memorial Hospital · Rexburg $14
- Kootenai Health · Coeur D'Alene $14
- Treasure Valley Hospital · Boise $14
- Mountain View Hospital · Idaho Falls $14
- Northwest Specialty Hospital · Post Falls $14
- St Luke's Nampa Medical Center · Nampa $14
Insurance negotiated median for the same procedure, sorted lowest first.