CMS Price Transparency Data
Hepatitis C antibody test
Facility: Gifford Medical Center
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$65
about 4.6× the $14 Medicare rate · typically $13–$70
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $65 Cash price $78 Hospital's list price $155
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 - $147 | 98% |
| Blue Cross Blue Shieldmajor | $69 - $132 | 484% |
| Aetnamajor | $147 | 1030% |
| Cignamajor | $124 | 869% |
| Harvard Pilgrim | $124 | 869% |
| MVP Health Care | $70 - $132 | 491% |
| + 1 smaller / regional plan | $70 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Hepatitis C antibody test at other VT hospitals
- Central Vermont Medical Center · Barre $14
- Southwestern Vermont Medical Center · Bennington $14
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $15
- Brattleboro Memorial Hospital · Brattleboro $15
Insurance negotiated median for the same procedure, sorted lowest first.