CMS Price Transparency Data

Hepatitis C antibody test

Facility: Community Memorial Hospital, Inc

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$36
about 2.6× the $14 Medicare rate · typically $17–$53
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $36 Cash price $90 Hospital's list price $112

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.

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 $35 - $53 245%
Blue Cross Blue Shieldmajor $35 - $64 245%
Aetnamajor $55 385%
Cignamajor $51 357%
Humanamajor $50 350%
CDPHP $52 364%
Fidelis Care $29 - $35 203%
MVP Health Care $50 350%
+ 6 smaller / regional plans $50 - $52

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 150 Broad Street, Hamilton, NY 13346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals