CMS Price Transparency Data

Hepatitis C antibody test

Facility: North Shore Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15
about 1.1× the $14 Medicare rate · typically $15–$28
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $15 Cash price $5 Hospital's list price $5

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 $5 - $13 35%
Aetnamajor $3 - $15 21%
Cignamajor $2 - $5 14%
Humanamajor $2 - $6 14%
Ambetter (Centene) $10 70%
AmeriHealth $11 77%
AvMed $9 - $12 63%
Bright Health $6 42%
Devoted Health $5 35%
Molina $10 70%
Oscar Health $17 119%
+ 15 smaller / regional plans $3 - $16
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals