CMS Price Transparency Data

Hepatitis C antibody test

Facility: Range Regional Health Services

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $45
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Range Regional Health Services is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 3.15x the Medicare baseline. Located in 750 East 34Th St, Hibbing, MN.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $25 (175%)
Insurance Median: $45 (315%)
Cash: $25 (175% of Medicare)
Ins. Median: $45 (315% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $14 - $327 98%
Itasca Medical Care $14 98%
Medica $14 - $105 98%
Primewest $14 98%
Sanford Health Plan $14 - $74 98%
Security Health Plan $14 - $94 98%
Ucare $14 - $28 98%
UnitedHealthcare $14 - $101 98%
Wellcare $14 98%
Health Partners $15 - $127 105%
First Health $38 - $103 266%
Multiplan $40 - $107 280%
Private Healthcare Systems $40 - $107 280%
America'S Ppo $42 - $113 294%
Wisconsin Physician Services $42 - $113 294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 East 34Th St, Hibbing, MN 55746
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals