CMS Price Transparency Data
Hepatitis C antibody test
Facility: Lexington Medical Center
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$32
about 2.3× the $14 Medicare rate · typically $16–$51
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $32 Cash price $298 Hospital's list price $298
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $29 - $36 | 203% |
| Blue Cross Blue Shieldmajor | $14 - $267 | 98% |
| Aetnamajor | $15 | 105% |
| Cignamajor | $75 | 526% |
| Humanamajor | $15 | 105% |
| Ambetter (Centene) | $26 | 182% |
| Molina | $17 - $50 | 119% |
| + 2 smaller / regional plans | $15 - $244 |
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Other Procedures at Lexington Medical Center
Compare: Hepatitis C antibody test at other SC hospitals
- Conway Medical Center · Conway $14
- Prisma Health Oconee Memorial Hospital · Seneca $15
- Colleton Medical Center · Walterboro $15
- Prisma Health Hillcrest Hospital · Simpsonville $15
- Prisma Health Laurens County Hospital · Clinton $15
- Prisma Health Tuomey Hospital · Sumter $15
- Prisma Health Greenville Memorial Hospital · Greenville $15
- Trident Medical Center · Charleston $15
Insurance negotiated median for the same procedure, sorted lowest first.