CMS Price Transparency Data

Hepatitis C antibody test

Facility: Kenmore Mercy Hospital

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–$18
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 $10 Hospital's list price $35

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $9 Priciest $15

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Hepatitis C antibody test is about $15 (about 1.1× the $14 Medicare rate). Kenmore Mercy Hospital charges insurers about $15, or about $10 in cash — about the fair price. Located in Kenmore, NY.

What each insurance company pays

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

5 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 $10 - $15 70%
Blue Cross Blue Shieldmajor $10 - $28 70%
Aetnamajor $15 105%
Cignamajor $14 98%
Humanamajor $15 105%
Amerigroup $28 196%
Fidelis Care $15 - $23 105%
Independent Health $11 - $15 77%
Molina $23 161%
WellCare $15 105%
+ 13 smaller / regional plans $10 - $32
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 2950 Elmwood Avenue, Kenmore, NY 14217
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals