CMS Price Transparency Data

Hepatitis C antibody test

Facility: Newton 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 $14–$19
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
About the fair price
1.1× Medicare
Medicare pays $14 Fair price $15 This hospital $15 Cash price $112 Hospital's list price $2,325

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $12 Priciest $15

Black dot = this hospital, among the 9 NJ 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 $15 (about 1.1× the $14 Medicare rate). Newton Medical Center charges insurers about $15, or about $112 in cash — about the fair price. Located in Newton, NJ.

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 $14 98%
Blue Cross Blue Shieldmajor $11 - $172 77%
Aetnamajor $13 - $28 91%
Cignamajor $8 - $14 56%
Humanamajor $170 1191%
Kaiser Permanentemajor $140 981%
Ambetter (Centene) $29 203%
AmeriHealth $14 - $167 98%
GEHA $14 98%
Harvard Pilgrim $14 98%
Health Net $24 - $216 168%
MagnaCare $25 - $203 175%
MVP Health Care $8 56%
Oscar Health $170 1191%
Tufts Health Plan $8 56%
UPMC Health Plan $16 112%
WellCare $15 105%
+ 79 smaller / regional plans $8 - $254
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 24 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 175 High St, Newton, NJ 07860
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals