CMS Price Transparency Data

Hepatitis C antibody test

Facility: Metropolitan Hospital Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$38
about 2.7× the $14 Medicare rate · typically $16–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Below the fair price — a good deal
about $10 under the fair price · 2.0× Medicare
Medicare pays $14 Fair price $38 This hospital $28 Hospital's list price $60

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 $28

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 $38 (about 2.7× the $14 Medicare rate). Metropolitan Hospital Center charges insurers about $28 — below the fair price — a good deal. Located in New York, NY.

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 - $35 147%
Blue Cross Blue Shieldmajor $28 - $63 196%
Aetnamajor $11 - $42 77%
Cignamajor $35 245%
Fidelis Care $14 - $63 98%
MagnaCare $17 119%
Oscar Health $21 147%
WellCare $36 252%
+ 13 smaller / regional plans $10 - $63
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: 1901 First Avenue, New York, NY 10029
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals