CMS Price Transparency Data

Hepatitis C antibody test

Facility: Jefferson Stratford Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Jefferson Stratford Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)
Cash / Self-Pay: $16 (112%)
Insurance Median: $15 (105%)
Cash: $16 (112% of Medicare)
Ins. Median: $15 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicare (plans) $10 - $15 70%
Blue Cross Blue Shield $10 - $100 70%
UnitedHealthcare $11 - $26 77%
St Agnes $14 98%
Point of Comfort Refugee Resettlement $14 98%
Innovage $14 98%
Tricare $14 98%
Highmark Wholecare Gateway $14 98%
Inspira Life $14 98%
Humana $15 105%
Cigna $15 - $21 105%
Devoted Health Participation $15 105%
Aetna $15 - $57 105%
Provider Partners Health Plan $15 105%
Geisinger Health Plan $16 - $58 112%
Allwell PA Health_Wellness Ma $16 112%
Ibc Main Line Health $18 126%
Ibc Employee Benefit $18 126%
Horizon Nj Health Nj $20 140%
Ambetter / Centene $21 147%
Naphcare $23 161%
PA Health_Wellness Chc $25 175%
Highmark $32 - $38 224%
Jeff Nj Amerihealth_Ibc $66 - $79 463%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18 East Laurel Road, Stratford, NJ 08084
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals