CMS Price Transparency Data

Hepatitis C antibody test

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 1.4× the $14 Medicare rate · typically $14–$46
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $20 Cash price $161 Hospital's list price $161

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $161 1128%
Blue Cross Blue Shieldmajor $161 1128%
Aetnamajor $161 1128%
Cignamajor $161 1128%
Ambetter (Centene) $161 1128%
AmeriHealth $161 1128%
Oscar Health $161 1128%
UPMC Health Plan $161 1128%
WellCare $161 1128%
+ 11 smaller / regional plans $161
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL