CMS Price Transparency Data
Hepatitis C antibody test
Facility: University Medical Center
Billing Code: 86803 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 86803
- Insurance Median: $16
- Cash Discount Price: $176
- vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at University Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.12x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$176
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$14.27
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $176 (1233%)
Insurance Median: $16 (112%)
Cash: $176 (1233% of Medicare)
Ins. Median: $16 (112% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aig | $5 - $318 | 35% |
| Beech Street | $5 - $318 | 35% |
| Cement Masons & Plasters H&W | $5 - $172 | 35% |
| City of North Las Vegas | $5 - $172 | 35% |
| Kaiser | $5 - $23 | 35% |
| National Security Technologies | $5 - $23 | 35% |
| Cirque De Soleil | $5 - $23 | 35% |
| Cigna | $5 - $23 | 35% |
| Great West Healthcare | $5 - $23 | 35% |
| UnitedHealthcare | $6 - $16 | 42% |
| American Postal Workers Health Plan | $6 - $8 | 42% |
| Surest | $6 - $8 | 42% |
| Switch | $6 - $172 | 42% |
| Las Vegas Firefighters 1285 | $6 - $172 | 42% |
| Bricklayers Local 13 | $7 - $172 | 49% |
| Caesar's Entertainment | $7 - $172 | 49% |
| Sheet Metal Workers | $7 | 49% |
| Teamsters Local 14 | $7 - $172 | 49% |
| Electrical Workers | $7 - $172 | 49% |
| Blue Cross Blue Shield | $7 - $14 | 49% |
| Teamsters Local 986 | $7 - $172 | 49% |
| So Ca Pipe Trades H&W | $7 | 49% |
| Operating Engineers | $7 - $172 | 49% |
| Teamsters Local 631 | $7 - $172 | 49% |
| Plumbers & Pipefitters Loc 525 | $7 - $172 | 49% |
| California Ironwork Field Welfare | $7 | 49% |
| Laborers Health and Welfare | $7 - $172 | 49% |
| Boyd Group | $7 - $172 | 49% |
| Southwest Carpenters H&W | $7 | 49% |
| Ufcw Local 711 Retail Clerks | $7 - $172 | 49% |
| Las Vegas Sand Corps | $8 - $19 | 56% |
| Molina | $10 - $25 | 70% |
| Sierra Health and Life | $10 - $331 | 70% |
| Ambetter / Centene | $10 - $22 | 70% |
| State of Nevada | $14 - $331 | 98% |
| Pli Las Vegas | $14 - $331 | 98% |
| Arroweye Solutions | $14 - $331 | 98% |
| Wynn Resorts | $14 - $172 | 98% |
| Scan | $14 - $15 | 98% |
| VA Pc3 (VA Choice) | $14 | 98% |
| Dignity Health | $14 - $331 | 98% |
| Alignment Health | $14 - $15 | 98% |
| Clark County Self Funded | $14 - $172 | 98% |
| Resorts World Las Vegas | $14 - $172 | 98% |
| Teacher's Health Trust | $14 - $331 | 98% |
| Marshall Retail Group | $14 - $331 | 98% |
| P3 Health Partners | $14 - $331 | 98% |
| Selecthealth | $14 - $21 | 98% |
| Healthcare Partners of Nevada | $14 | 98% |
| Mgm Grand | $14 - $172 | 98% |
| Advantra Freedom | $14 | 98% |
| Clark County EPO | $14 - $172 | 98% |
| Golden Entertainment | $14 - $331 | 98% |
| Venetian/Palazzo | $14 - $331 | 98% |
| City of Henderson | $14 - $172 | 98% |
| Aetna | $14 - $287 | 98% |
| Allwell | $14 | 98% |
| Las Vegas Metro Police Dept | $14 - $172 | 98% |
| Stations Casinos | $14 - $331 | 98% |
| P3 Health Partners Nevada | $14 | 98% |
| Truline Corporation | $14 - $331 | 98% |
| Mirage Las Vegas | $14 - $172 | 98% |
| Rebel Oil Company | $14 - $331 | 98% |
| Golden Nugget Hotel & Casino | $14 - $331 | 98% |
| First Health | $16 - $25 | 112% |
| Three Rivers Provider Network | $16 - $25 | 112% |
| Mail Handlers Benefit Plan | $16 - $42 | 112% |
| Nevada Energy | $16 - $42 | 112% |
| Health Net | $16 - $541 | 112% |
| Coventry | $16 - $42 | 112% |
| Geha | $16 - $21 | 112% |
| Clark County Firefighters 1908 | $16 - $172 | 112% |
| Employee Painters Trust | $16 - $172 | 112% |
| Culinary Workers Hwf | $18 - $172 | 126% |
| Prominence Health Plan | $21 - $29 | 147% |
| Universal Health Network (Uhn) | $21 - $29 | 147% |
| Nevada Preferred Professionals | $21 - $29 | 147% |
| Hometown Health Plan Nevada | $21 | 147% |
| One Health Plan | $21 - $204 | 147% |
| Jw Marriott | $21 - $31 | 147% |
| Health Direct Partners | $23 - $24 | 161% |
| Nevada Hand | $172 | 1205% |
| Clark County Detention Center | $191 | 1338% |
| Laughlin Coalition | $195 - $248 | 1367% |
| Hometown Health Plan of Nevada | $204 | 1430% |
| Zuffa | $300 - $382 | 2102% |