CMS Price Transparency Data

Hepatitis C antibody test

Facility: Mid-Columbia Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $89
Cash Discount Price: $82
vs. Medicare Baseline: 6.24x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Mid-Columbia Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 6.24x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $82 (575%)

Insurance Median: $89 (624%)

Cash: $82 (575% of Medicare)

Ins. Median: $89 (624% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 624% of the Medicare baseline (a markup of 524%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$14 - $544	98%
Community Hp Mcr Adv - All Plans	$14	98%
Moda Mcr Adv	$14	98%
Molina Mcr Adv	$14	98%
Tricare	$14	98%
Va Ccn Triwest - All Plans	$14	98%
Healthnet Mcr Adv	$15	105%
Humana	$15	105%
Molina - All Other Plans	$16	112%
Pacific Source - All Plans	$24	168%
Employee Health Plan - All Plans	$26	182%
Norocor - All Plans	$85	596%
Amerigroup Mcaid - All Plans	$89	624%
Coordinated Care Mcaid - All Plans	$89	624%
Molina Mcaid	$89	624%
UnitedHealthcare	$89 - $162	624%
Moda Health Plan - All Other Plans	$113	792%
Healthscape - All Plans	$137	960%
First Health - All Plans	$152	1065%
Coventry - All Plans	$154	1079%
Aetna	$158	1107%
Cigna	$161	1128%
First Choice - All Plans	$162	1135%
Multiplan/Phcs - All Plans	$162	1135%
Providence Ppo - All Plans	$162	1135%
Trpn - Three Rivers - All Plans	$162	1135%
Ahp - Americas Hlth Plan - All Plans	$166	1163%
Devoted Mcr Adv - All Plans	$184	1289%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $82.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mid-Columbia Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.