CMS Price Transparency Data
Hepatitis C antibody test
Facility: Pawnee County Memorial Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$60
about 4.3× the $14 Medicare rate · typically $17–$121
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $60 Cash price $82 Hospital's list price $103
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✓ Aetna CignaHumanaKaiser 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 | $71 - $98 | 498% |
| Blue Cross Blue Shieldmajor | $71 - $98 | 498% |
| Aetnamajor | $71 - $97 | 498% |
| Ambetter (Centene) | $96 | 673% |
| Medica | $71 - $99 | 498% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pawnee County Memorial Hospital
Compare: Hepatitis C antibody test at other NE hospitals
- The Nebraska Medical Center · Omaha $14
- Mary Lanning Healthcare · Hastings $14
- Methodist Fremont Health · Fremont $14
- Fillmore County Hospital · Geneva $14
- Children's Nebraska · Omaha $14
- Regional West Medical Center · Scottsbluff $15
- Columbus Community Hospital, Inc · Columbus $15
- Faith Regional Health Services · Norfolk $15
Insurance negotiated median for the same procedure, sorted lowest first.