CMS Price Transparency Data

Hepatitis C antibody test

Facility: Pikeville Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14
about 1.0× the $14 Medicare rate · typically $14–$15
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
About the fair price
1.0× Medicare
Medicare pays $14 Fair price $14 This hospital $14 Cash price $50 Hospital's list price $167

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $14

Black dot = this hospital, among the 9 KY 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 $14 (about 1.0× the $14 Medicare rate). Pikeville Medical Center charges insurers about $14, or about $50 in cash — about the fair price. Located in Pikeville, KY.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $12 84%
CareSource $21 147%
WellCare $20 140%
+ 2 smaller / regional plans $14 - $36

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 911 Bypass Road, Pikeville, KY 41501
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals