CMS Price Transparency Data

Hepatitis C antibody test

Facility: Children's Specialized Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$13
about 0.9× the $14 Medicare rate · typically $11–$35
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
About the fair price
about $1 under the fair price · 0.9× Medicare
Medicare pays $14 Fair price $13 This hospital $12 Cash price $71 Hospital's list price $142

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $12 Priciest $14

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 $13 (about 0.9× the $14 Medicare rate). Children's Specialized Hospital charges insurers about $12, or about $71 in cash — about the fair price. Located in New Brunswick, NJ.

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 $12 84%
Blue Cross Blue Shieldmajor $14 - $139 98%
Aetnamajor $109 764%
Cignamajor $86 603%
AmeriHealth $108 757%
Fidelis Care $11 77%
+ 2 smaller / regional plans $97 - $111
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Somerset St, New Brunswick, NJ 08901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens