CMS Price Transparency Data

Hepatitis C antibody test

Facility: Mountainview Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $702
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Mountainview Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $702. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.
Cash / Self-Pay
$702

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $702 (4919%)
Insurance Median: $15 (105%)
Cash: $702 (4919% of Medicare)
Ins. Median: $15 (105% 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.

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
Aetna $2 - $24 14%
Ambetter / Centene $10 - $15 70%
Caresource $10 70%
Community Care Health $10 70%
Molina Healthcare $10 70%
Sierra Hpn $10 70%
Alignment Health Plan $14 98%
Blue Cross Blue Shield $14 - $18 98%
Health Net $14 98%
Hometown Health Mcr $14 98%
Humana $14 98%
Select Health $14 - $162 98%
Sierra $14 98%
Triwest Healthcare Alliance $14 98%
United $14 - $153 98%
UnitedHealthcare $14 98%
Caremore $15 105%
Health Services Coalition $15 105%
Imperial Nv $16 112%
Universal Healthcare $17 119%
Cigna $37 259%
Corvel $48 336%
Olympus Medsave Usa $50 - $526 350%
Prominence Healthfirst $211 1479%
Cmn Global $295 2067%
Emerging Therapy Solutions $344 - $470 2411%
Hometown Health Providers $351 2460%
Nv Health & Welfare Trust $421 2950%
Multiplan $442 - $512 3097%
First Health $463 - $562 3245%
Medcare International $526 3686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 N Tenaya Way, Las Vegas, NV 89128
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals