CMS Price Transparency Data

Hepatitis C antibody test

Facility: Bellin Health Oconto Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 2.0× the $14 Medicare rate · typically $18–$63
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
About the fair price
about $1 over the fair price · 2.1× Medicare
Medicare pays $14 Fair price $28 This hospital $29 Cash price $51 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $29

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 $28 (about 2.0× the $14 Medicare rate). Bellin Health Oconto Hospital charges insurers about $29, or about $51 in cash — about the fair price. Located in Oconto, WI.

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 $24 - $55 168%
Blue Cross Blue Shieldmajor $20 - $29 140%
Aetnamajor $30 - $40 210%
Cignamajor $42 - $57 294%
Humanamajor $20 - $27 140%
+ 12 smaller / regional plans $20 - $71
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals