CMS Price Transparency Data
Hepatitis C antibody test
Facility: Door County Medical Center
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$35
about 2.5× the $14 Medicare rate · typically $15–$83
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $35 Cash price $125 Hospital's list price $166
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 | $15 - $85 | 105% |
| Blue Cross Blue Shieldmajor | $35 - $93 | 245% |
| Aetnamajor | $36 - $95 | 252% |
| HealthPartners | $90 | 631% |
| Molina | $74 | 519% |
| + 3 smaller / regional plans | $54 - $124 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Door County Medical 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.