CMS Price Transparency Data

Hepatitis C antibody test

Facility: Overlook 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–$20
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
Above the fair price
about $3 over the fair price · 1.3× Medicare
Medicare pays $14 Fair price $15 This hospital $18 Cash price $87 Hospital's list price $1,892

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 $18

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). Overlook Medical Center charges insurers about $18, or about $87 in cash — above the fair price. Located in Summit, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $15. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $227 77%
Aetnamajor $13 - $173 91%
Cignamajor $8 - $123 56%
Humanamajor $179 1254%
Kaiser Permanentemajor $147 1030%
Ambetter (Centene) $29 - $123 203%
AmeriHealth $14 - $129 98%
GEHA $14 98%
Harvard Pilgrim $14 98%
Health Net $24 - $227 168%
MagnaCare $25 - $213 175%
MVP Health Care $8 56%
Oscar Health $179 1254%
Tufts Health Plan $8 56%
UPMC Health Plan $16 - $123 112%
WellCare $15 - $123 105%
+ 79 smaller / regional plans $8 - $267
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 25 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.

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Facility Profile & Credentials

  • Address: 99 Beauvoir Avenue, Summit, NJ 07901
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals