CMS Price Transparency Data

Hepatitis C antibody test

Facility: Stonewall Memorial Hospital District

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$30
about 2.1× the $14 Medicare rate · typically $13–$79
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $30 Cash price $120 Hospital's list price $160

How we calculate the fair BaseRate →

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 $40 - $101 280%
Blue Cross Blue Shieldmajor $146 1023%
Aetnamajor $101 708%
Cignamajor $128 897%
Humanamajor $101 708%
+ 1 smaller / regional plan $136

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 821 North Broadway, Aspermont, TX 79502
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals