CMS Price Transparency Data
Hepatitis C antibody test
Facility: Porter Hospital Inc
Billing Code: 86803 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$67
about 4.8× the $14 Medicare rate · typically $12–$132
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $67 Cash price $118 Hospital's list price $118
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 | $55 - $117 | 385% |
| Blue Cross Blue Shieldmajor | $57 - $115 | 399% |
| Aetnamajor | $55 - $104 | 385% |
| Cignamajor | $107 | 750% |
| Humanamajor | $14 | 98% |
| Fidelis Care | $50 | 350% |
| Harvard Pilgrim | $94 | 659% |
| MVP Health Care | $55 - $110 | 385% |
| + 3 smaller / regional plans | $55 - $112 |
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Porter Hospital Inc
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.