CMS Price Transparency Data

Hepatitis C antibody test

Facility: Bertrand Chaffee Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Bertrand Chaffee Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $19 (133%)
Insurance Median: $14 (98%)
Cash: $19 (133% of Medicare)
Ins. Median: $14 (98% 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
Blue Cross Blue Shield $9 - $10 63%
Senior Blue - Bc $9 63%
Comm Blue Essential $10 70%
Community Blue $10 70%
Community Care - Bc $10 70%
Fidelis Care Of New York $10 70%
Fidelis Essential Plans $10 70%
Ghi Medical $10 70%
Gowanda Correctional Fac $10 70%
Medicaid / KanCare $10 70%
Molina Essential Plan $10 70%
Molina Heathcare Of Wny $10 70%
Seneca Nation Health Dept $10 70%
United Hc - Community Pln $10 70%
United Hc Essential Plan $10 70%
Univera Hc Myhealth $10 70%
Univera Hc Myhealth+ $10 - $12 70%
Yourcare $10 70%
Iha $12 84%
Iha Custom Coverage $12 84%
Iha Essential Plans $12 84%
Iha Medisource $12 84%
Univera Essential Plans $12 84%
Univera Hc Child Health+ $12 84%
Univera Plus Med $12 84%
Advantra-Mcr Advantage $14 98%
Aetna $14 - $23 98%
Centers Plan Hlty Living $14 98%
Champva $14 98%
Cigna $14 - $23 98%
Ctrs Plan For Hlthy Livng $14 98%
Geisinger Health Plan $14 98%
Humana $14 98%
Iha Encompass 65 $14 - $15 98%
Lifetime Benefits $14 98%
Medicare (plans) $14 98%
Mutual Of Omaha $14 98%
Nova Healthcare $14 98%
Optimum Healthcare - Mcr $14 98%
Todays Option - Amer Prog $14 98%
Tricare $14 98%
United Hc Mcr Solutions $14 98%
UnitedHealthcare $14 98%
Univera Senior Choice $14 98%
Wellcare $14 98%
Univera Healthcare $16 112%
Private Pay $19 133%
American Progressive Ins. $23 161%
Commercial / Misc $23 161%
Global Excel Mgt $23 161%
Guardian Life Ins. Co. $23 161%
Mvp Commercial $23 161%
No Amer Meritian Health $23 161%
No-Fault $23 161%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals