CMS Price Transparency Data
Hepatitis C antibody test
Facility: Thedacare Regional Medical Center - Appleton Inc
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$21
about 1.5× the $14 Medicare rate · typically $17–$39
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $21 Cash price $58 Hospital's list price $104
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 | $15 - $17 | 105% |
| Blue Cross Blue Shieldmajor | $15 - $80 | 105% |
| Aetnamajor | $82 | 575% |
| Cignamajor | $15 - $86 | 105% |
| HealthPartners | $33 | 231% |
| Quartz | $66 | 463% |
| + 2 smaller / regional plans | $40 - $72 |
Government programs also on file: Medicaid.
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Other Procedures at Thedacare Regional Medical Center - Appleton Inc
Compare: Hepatitis C antibody test at other WI hospitals
- Grant Regional Health Center · Lancaster $11
- Upland Hills Health · Dodgeville $12
- St Josephs Community Hospital West Bend · West Bend $14
- Fort Memorial Hospital · Fort Atkinson $14
- Gundersen Lutheran Medical Center · La Crosse $14
- Unitypoint Health - Meriter · Madison $14
- Sauk Prairie Hospital · Prairie Du Sac $14
- University of Wi Hospitals & Clinics Authority · Madison $14
Insurance negotiated median for the same procedure, sorted lowest first.