CMS Price Transparency Data
Hepatitis C antibody test
Facility: Houlton Regional Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$38
about 2.7× the $14 Medicare rate · typically $16–$73
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $38 Cash price $62 Hospital's list price $65
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 | $62 | 434% |
| Blue Cross Blue Shieldmajor | $29 - $52 | 203% |
| Aetnamajor | $29 | 203% |
| Cignamajor | $59 | 413% |
| WellCare | $29 | 203% |
| + 2 smaller / regional plans | $33 - $57 |
Government programs also on file: Military & VA.
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Other Procedures at Houlton Regional Hospital
Compare: Hepatitis C antibody test at other ME hospitals
- Central Maine Medical Center · Lewiston $14
- Cary Medical Center · Caribou $14
- Mainehealth Stephens Hospital · Norway $17
- Mainehealth Franklin Hospital · Farmington $18
- Mainehealth Maine Medical Center · Portland $19
- Mainehealth Mid Coast Hospital · Brunswick $19
- Mainehealth Pen Bay Hospital · Rockport $19
- Lincolnhealth · Damariscotta $19
Insurance negotiated median for the same procedure, sorted lowest first.