CMS Price Transparency Data
Hepatitis C antibody test
Facility: Samaritan Hospital of Troy, New York
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$24
about 1.7× the $14 Medicare rate · typically $15–$37
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $24 Cash price $107 Hospital's list price $164
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 | $14 - $164 | 98% |
| Blue Cross Blue Shieldmajor | $11 - $65 | 77% |
| Aetnamajor | $15 - $46 | 105% |
| Cignamajor | $74 | 519% |
| Fidelis Care | $26 | 182% |
| GEHA | $46 | 322% |
| Harvard Pilgrim | $36 | 252% |
| HealthPartners | $74 | 519% |
| Independent Health | $139 | 974% |
| MagnaCare | $139 | 974% |
| Medical Mutual | $46 | 322% |
| MVP Health Care | $15 | 105% |
| Priority Health | $74 | 519% |
| Tufts Health Plan | $74 | 519% |
| UniCare | $37 | 259% |
| + 22 smaller / regional plans | $10 - $164 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Hepatitis C antibody test at other NY hospitals
- Hospital for Special Surgery · New York $9
- Montefiore New Rochelle Hospital · New Rochelle $10
- Elizabethtown Community Hospital · Elizabethtown $10
- Montefiore Mount Vernon Hospital · Mount Vernon $11
- Nassau University Medical Center · East Meadow $12
- Bertrand Chaffee Hospital · Springville $12
- O'Connor Hospital · Delhi $12
- The University of Vermont Health Network-Alice Hy · Malone $12
Insurance negotiated median for the same procedure, sorted lowest first.