CMS Price Transparency Data
Hepatitis C antibody test
Facility: Stephens Memorial Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$36
about 2.6× the $14 Medicare rate · typically $13–$82
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $36 Cash price $107 Hospital's list price $153
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 | $14 - $35 | 98% |
| Blue Cross Blue Shieldmajor | $39 - $125 | 273% |
| Aetnamajor | $20 - $103 | 140% |
| Cignamajor | $106 | 743% |
| Humanamajor | $14 | 98% |
| + 1 smaller / regional plan | $59 |
Government programs also on file: Medicaid.
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Other Procedures at Stephens Memorial Hospital
Compare: Hepatitis C antibody test at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $9
- PAM Specialty Hospital of Texarkana North · Texarkana $11
- Ascension Providence · Waco $12
- University of Texas M. D. Anderson Cancer Center · Houston $12
- South Texas Health System · Edinburg $12
- PAM Rehabilitation Hospital of Beaumont · Beaumont $12
- PAM Rehabilitation Hospital of Clear Lake · Webster $12
- PAM Health Rehabilitation Hospital of Sugar Land LLC · Sugar Land $12
Insurance negotiated median for the same procedure, sorted lowest first.