CMS Price Transparency Data

Hepatitis C antibody test

Facility: Mercy Health Saint Mary's

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 1.2× the $14 Medicare rate · typically $15–$25
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
About the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $14 Fair price $17 This hospital $19 Cash price $50 Hospital's list price $77

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 $19

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

A fair price for a Hepatitis C antibody test is about $17 (about 1.2× the $14 Medicare rate). Mercy Health Saint Mary's charges insurers about $19, or about $50 in cash — about the fair price. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $15 - $82 105%
Blue Cross Blue Shieldmajor $8 - $19 56%
Aetnamajor $14 - $65 98%
Cignamajor $53 - $60 371%
Humanamajor $55 - $82 385%
Kaiser Permanentemajor $19 133%
AmeriHealth $55 - $62 385%
CareSource $47 - $54 329%
Dean Health Plan $53 - $60 371%
GEHA $21 - $62 147%
Medical Mutual $21 147%
Molina $19 133%
MVP Health Care $53 - $60 371%
Oscar Health $14 98%
Paramount $53 - $60 371%
Priority Health $79 - $81 554%
UniCare $55 - $62 385%
+ 144 smaller / regional plans $10 - $82
Government programs also on file: Medicare, Medicaid.
Excludes 9 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

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals