CMS Price Transparency Data

Hepatitis C antibody test

Facility: Spectrum Health

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$19
about 1.4× the $14 Medicare rate · typically $15–$44
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
Below the fair price — a good deal
about $2 under the fair price · 1.2× Medicare
Medicare pays $14 Fair price $19 This hospital $17 Cash price $78 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $17

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis C antibody test is about $19 (about 1.4× the $14 Medicare rate). Spectrum Health charges insurers about $17, or about $78 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

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 $14 98%
Aetnamajor $14 - $15 98%
Meridian $26 182%
Priority Health $15 - $27 105%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 100 Michigan St Ne, Grand Rapids, MI 49503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals