CMS Price Transparency Data

Hepatitis C antibody test

Facility: Madison Health

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 1.4× the $14 Medicare rate · typically $14–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
Below the fair price — a good deal
about $5 under the fair price · 1.1× Medicare
Medicare pays $14 Fair price $20 This hospital $15 Cash price $172 Hospital's list price $215

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 $15

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 $20 (about 1.4× the $14 Medicare rate). Madison Health charges insurers about $15, or about $172 in cash — below the fair price — a good deal. Located in London, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $14 98%
Ambetter (Centene) $22 154%
CareSource $15 - $23 105%
Molina $15 - $22 105%
+ 1 smaller / regional plan $15

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: 210 North Main Street, London, OH 43140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals