CMS Price Transparency Data

Hepatitis C antibody test

Facility: Gundersen Lutheran Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$18
about 1.3× the $14 Medicare rate · typically $14–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $4 under the fair price · 1.0× Medicare
Medicare pays $14 Fair price $18 This hospital $14

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 0 of 8 other WI hospitals charge more for the same procedure.

Cheapest $11 Priciest $14

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis C antibody test is about $18 (about 1.3× the $14 Medicare rate). Gundersen Lutheran Medical Center charges insurers about $14 — below the fair price — a good deal. Located in La Crosse, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $4 - $14 28%
Blue Cross Blue Shieldmajor $4 - $143 28%
Aetnamajor $14 98%
Amerigroup $4 - $14 28%
HealthPartners $14 98%
Molina $4 28%
UCare $14 - $15 98%
+ 7 smaller / regional plans $4 - $228

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Facility Profile & Credentials

  • Address: 1910 South Ave, La Crosse, WI 54601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals