☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /86804
  5. /Percent of billed charges
HCPCS 86804

HB HEPATITIS C CONFIRMATION

Reported by 28 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$25

Average

$330

Median

$254

High

$1.5k

Hospitals reporting this code

#HospitalLocation
1University of Iowa Health Care Medical Center DowntownIowa City, IA$15$231$233$312$63
2University of Iowa Health Care Medical CenterIowa City, IA$15$237$235$312$62
3Spring Valley Hospital Medical CenterLas Vegas, NV—$504$549—$316
4Valley Health Speciality HospitalLas Vegas, NV—$504$549—$316
5Summerlin Hospital Medical CenterLas Vegas, NV—$504$549—$316
6West Henderson HospitalNV 89052, NV—$504$549—$316
7Henderson HospitalHenderson, NV—$504$549—$316
8Centennial HillsLas Vegas, NV—$504$549—$316
9McAllen Hospitals, LPMcAllen, TX—$385$414—$176
10McAllen Hospitals, LPEdinburg, TX—$385$414—$176
Page 1 of 3

Look up this code directly

Ask Claude or any MCP client for HCPCS 86804 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC