CMS Price Transparency Data

Hepatitis C antibody test

Facility: The McDowell Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16
about 1.1× the $14 Medicare rate · typically $15–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $14 Fair price $16 This hospital $15

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $13 Priciest $15

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

A fair price for a Hepatitis C antibody test is about $16 (about 1.1× the $14 Medicare rate). The McDowell Hospital charges insurers about $15 — about the fair price. Located in Marion, NC.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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%
Aetnamajor $15 105%
Cignamajor $15 105%
Humanamajor $15 105%
Ambetter (Centene) $14 98%
AmeriHealth $16 - $20 112%
Devoted Health $14 98%
WellCare $15 105%
+ 5 smaller / regional plans $14 - $17

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Facility Profile & Credentials

  • Address: 430 Rankin Drive P O Box 730, Marion, NC 28752
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals