CMS Price Transparency Data

Hepatitis C antibody test

Facility: Jacobi Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$39
about 2.8× the $14 Medicare rate · typically $16–$56
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $39 Hospital's list price $60

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 $21 - $69 147%
Blue Cross Blue Shieldmajor $46 - $124 322%
Aetnamajor $11 - $42 77%
Cignamajor $35 245%
Fidelis Care $14 - $124 98%
MagnaCare $17 119%
Oscar Health $21 147%
WellCare $36 252%
+ 13 smaller / regional plans $10 - $124
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals