CMS Price Transparency Data

Hepatitis C antibody test

Facility: Marymount Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$16
about 1.1× the $14 Medicare rate · typically $14–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$19
Above the fair price
about $3 over the fair price · 1.4× Medicare
Medicare pays $14 Fair price $16 This hospital $19 Cash price $60 Hospital's list price $93

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $13 Priciest $19

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hepatitis C antibody test is about $16 (about 1.1× the $14 Medicare rate). Marymount Hospital charges insurers about $19, or about $60 in cash — above the fair price. Located in Garfield Heights, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $14 - $58 98%
Blue Cross Blue Shieldmajor $19 - $60 133%
Aetnamajor $14 - $93 98%
Cignamajor $15 - $74 105%
Humanamajor $14 - $79 98%
AmeriHealth $20 140%
CareSource $20 140%
Devoted Health $14 98%
Molina $19 133%
Oscar Health $28 - $36 196%
Paramount $19 133%
UniCare $15 105%
UPMC Health Plan $14 - $56 98%
+ 19 smaller / regional plans $14 - $84
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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: 12300 McCracken Road, Garfield Heights, OH 44125
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals