CMS Price Transparency Data
Hepatitis C antibody test
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$37
about 2.6× the $14 Medicare rate · typically $14–$67
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $37 Cash price $116 Hospital's list price $116
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 | $68 - $163 | 477% |
| Blue Cross Blue Shieldmajor | $68 - $163 | 477% |
| Aetnamajor | $68 - $163 | 477% |
| Cignamajor | $68 - $163 | 477% |
| Humanamajor | $68 - $163 | 477% |
| Ambetter (Centene) | $68 - $163 | 477% |
| CareSource | $68 - $163 | 477% |
| Devoted Health | $68 - $163 | 477% |
| Medical Mutual | $38 - $163 | 266% |
| Molina | $68 - $163 | 477% |
| UPMC Health Plan | $68 - $163 | 477% |
| + 1 smaller / regional plan | $47 - $111 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Hepatitis C antibody test at other OH hospitals
- Alliance Community Hospital · Alliance $13
- University Hospitals Samaritan Medical Center · Ashland $14
- Southern Ohio Medical Center · Portsmouth $14
- Marion General Hospital · Marion $14
- Mount Carmel St Ann's · Westerville $14
- Wilson Memorial Hospital · Sidney $14
- Ohiohealth O'Bleness Hospital · Athens $14
- Wood County Hospital · Bowling Green $14
Insurance negotiated median for the same procedure, sorted lowest first.