CMS Price Transparency Data
Hepatitis C antibody test
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$40
about 2.9× the $14 Medicare rate · typically $26–$41
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $40 Cash price $47 Hospital's list price $85
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $13 - $14 | 91% |
| Blue Cross Blue Shieldmajor | $14 - $88 | 98% |
| Humanamajor | $15 | 105% |
| Ambetter (Centene) | $14 | 98% |
| + 4 smaller / regional plans | $15 - $26 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Hepatitis C antibody test at other MO hospitals
- Saint Francis Medical Center · Cape Girardeau $13
- Cedar County Memorial Hospital · El Dorado Springs $13
- Bates County Memorial Hospital · Butler $14
- Mercy Hospital Lebanon · Lebanon $14
- Golden Valley Memorial Hospital · Clinton $14
- Citizens Memorial Hospital · Bolivar $14
- Mercy Hospital - Cassville · Cassville $14
- Cass Regional Medical Center · Harrisonville $14
Insurance negotiated median for the same procedure, sorted lowest first.