CMS Price Transparency Data
Hepatitis C antibody test
Facility: Southwest Health Center
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$45
about 3.2× the $14 Medicare rate · typically $14–$90
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $45 Cash price $144 Hospital's list price $192
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✓ Cigna✓ Humana AetnaKaiser 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 | $57 - $164 | 399% |
| Blue Cross Blue Shieldmajor | $55 - $200 | 385% |
| Cignamajor | $137 - $150 | 960% |
| Humanamajor | $165 - $180 | 1156% |
| Dean Health Plan | $90 | 631% |
| Quartz | $113 - $156 | 792% |
| + 5 smaller / regional plans | $55 - $200 |
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Other Procedures at Southwest Health Center
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.