CMS Price Transparency Data
Hepatitis C antibody test
Facility: Pocahontas Memorial Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$38
about 2.7× the $14 Medicare rate · typically $12–$86
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $38 Cash price $91 Hospital's list price $130
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $91 - $113 | 638% |
| Aetnamajor | $94 | 659% |
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pocahontas Memorial Hospital
Compare: Hepatitis C antibody test at other WV hospitals
- Summers County Arh Hospital · Hinton $13
- Camc Greenbrier Valley Medical Center, Inc · Ronceverte $14
- United Hospital Center, Inc · Bridgeport $14
- St Marys Medical Center · Huntington $14
- Berkeley Medical Center · Martinsburg $14
- Charleston Area Medical Center · Charleston $14
- Mon Health Medical Center · Morgantown $14
- Stonewall Jackson Memorial Hospital · Weston $14
Insurance negotiated median for the same procedure, sorted lowest first.