CMS Price Transparency Data
Hepatitis C antibody test
Facility: St Claire Regional Medical Center
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$15
about 1.1× the $14 Medicare rate · typically $14–$78
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $15 Cash price $57 Hospital's list price $76
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $14 - $59 | 98% |
| Aetnamajor | $25 - $82 | 175% |
| Humanamajor | $14 - $57 | 98% |
| CareSource | $14 - $19 | 98% |
| HealthLink | $17 - $57 | 119% |
| WellCare | $21 - $82 | 147% |
| + 2 smaller / regional plans | $26 - $107 |
Government programs also on file: Medicaid.
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Other Procedures at St Claire Regional Medical Center
Compare: Hepatitis C antibody test at other KY hospitals
- Spring View Hospital · Lebanon $12
- Bourbon Community Hospital · Paris $12
- Georgetown Community Hospital · Georgetown $12
- Jackson Purchase Medical Center · Mayfield $12
- Lake Cumberland Regional Hospital · Somerset $12
- Fleming County Hospital · Flemingsburg $12
- Bluegrass Community Hospital · Versailles $12
- Meadowview Regional Medical Center · Maysville $13
Insurance negotiated median for the same procedure, sorted lowest first.