CMS Price Transparency Data

Hepatitis C antibody test

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$18
about 1.3× the $14 Medicare rate · typically $16–$26
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $14 Fair price $18 This hospital $20 Cash price $16

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $14 Priciest $20

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

A fair price for a Hepatitis C antibody test is about $18 (about 1.3× the $14 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $20, or about $16 in cash — about the fair price. Located in Philadelphia, PA.

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 $15 - $36 105%
Blue Cross Blue Shieldmajor $15 105%
Aetnamajor $15 - $29 105%
Cignamajor $15 - $21 105%
Humanamajor $14 98%
Geisinger $16 - $58 112%
UPMC Health Plan $15 - $45 105%
WellCare $16 112%
+ 2 smaller / regional plans $15 - $605

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals