CMS Price Transparency Data

Hepatitis C antibody test

Facility: Saint Joseph Mount Sterling

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–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $14 Fair price $14 This hospital $15 Cash price $17 Hospital's list price $45

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 $15

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

A fair price for a Hepatitis C antibody test is about $14 (about 1.0× the $14 Medicare rate). Saint Joseph Mount Sterling charges insurers about $15, or about $17 in cash — about the fair price. Located in Mount Sterling, KY.

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✓ Humana CignaKaiser 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 $14 - $15 98%
Blue Cross Blue Shieldmajor $12 - $15 84%
Aetnamajor $14 - $30 98%
Humanamajor $14 - $19 98%
CareSource $29 203%
Molina $14 - $15 98%
WellCare $14 - $15 98%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals