Hepatitis C antibody; confirmatory test (eg, immunoblot) Other Outpatient (CPT 86804)
86804 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
40 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
Compare interactively — search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Banner Fort Collins Medical Center | Fort Collins, CO | $44.21 | $239 | $15.49 | 2.9× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $57 | $114 | $15.49 | 3.7× |
| Evanston Regional Hospital | Evanston, WY | $59.75 | $99.58 | $15.49 | 3.9× |
| Banner North Colorado Medical Center | Greeley, CO | $63.81 | $239 | $15.49 | 4.1× |
| Star Valley Medical Center | Afton, WY | $93.80 | $134 | $15.49 | 6.1× |
| Sterling Regional MedCenter | Sterling, CO | $97.27 | $239 | $15.49 | 6.3× |
| Banner Wyoming Medical Center | Casper, WY | $100.38 | $239 | $15.49 | 6.5× |
| Parkland Memorial Hospital | Dallas, TX | $136 | $340 | $15.49 | 8.8× |
| Longmont United Hospital | Longmont, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| St. Anthony Hospital | Lakewood, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| Penrose Hospital | Colorado Springs, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| St. Anthony North Health Campus | Westminster, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| OrthoColorado Hospital | Lakewood, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $149.02 | $372.54 | $15.49 | 9.6× |
| East Morgan County Hospital | Brush, CO | $176.62 | $239 | $15.49 | 11.4× |
| Platte County Hospital | Wheatland, WY | $180.68 | $239 | $15.49 | 11.7× |
| Niobrara County Hospital District | Lusk, WY | $191.20 | $239 | $15.49 | 12.3× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $195.92 | $326.54 | $15.49 | 12.6× |
| Rangely District Hospital | Rangely, CO | $200.19 | $307.99 | $15.49 | 12.9× |
| Foothills Hospital | Boulder, CO | $206 | $412 | $15.49 | 13.3× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $206 | $206 | $15.49 | 13.3× |
| Delta County Memorial Hospital | Delta, CO | $209.10 | $348.50 | $15.49 | 13.5× |
| Grand River Medical Center | Rifle, CO | $213.50 | $427 | $15.49 | 13.8× |
| Melissa Memorial Hospital | Holyoke, CO | $219.20 | $274 | $15.49 | 14.2× |
| Estes Park Medical Center | Estes Park, CO | $267.75 | $357 | $15.49 | 17.3× |
| Kit Carson County Memorial Hospital | Burlington, CO | $283.02 | $332.97 | $15.49 | 18.3× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $564.70 | $564.70 | $15.49 | 36.5× |
| Johnson County Healthcare Center | Buffalo, WY | $616 | $616 | $15.49 | 39.8× |
| HCA HealthOne Rose Medical Center | Denver, CO | $866 | $866 | $15.49 | 55.9× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $927.84 | $927.84 | $15.49 | 59.9× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,360.05 | $1,360.05 | $15.49 | 87.8× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $1,680.03 | $1,680.03 | $15.49 | 108.5× |
| Medical City Dallas | Dallas, TX | $2,504.17 | $2,504.17 | $15.49 | 161.7× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $2,867.75 | $2,867.75 | $15.49 | 185.1× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $53.54 | $15.49 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $250.31 | $15.49 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $268.15 | $15.49 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $698.13 | $15.49 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $700.14 | $15.49 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $812.84 | $15.49 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.