CMS Price Transparency Data
Hepatitis C antibody test
Facility: Harlem Hospital 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–$52
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $39 Hospital's list price $60
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 - $55 | 147% |
| Blue Cross Blue Shieldmajor | $44 - $100 | 308% |
| Aetnamajor | $11 - $42 | 77% |
| Cignamajor | $35 | 245% |
| Fidelis Care | $14 - $100 | 98% |
| MagnaCare | $17 | 119% |
| Oscar Health | $21 | 147% |
| WellCare | $36 | 252% |
| + 13 smaller / regional plans | $10 - $100 |
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
Other Procedures at Harlem Hospital Center
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.