CMS Price Transparency Data

Hepatitis C antibody test

Facility: UPMC Presbyterian Shadyside

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 1.2× the $14 Medicare rate · typically $15–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Above the fair price
about $8 over the fair price · 1.8× Medicare
Medicare pays $14 Fair price $17 This hospital $25 Cash price $670 Hospital's list price $1,117

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 $25

Black dot = this hospital, among the 9 PA 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 $17 (about 1.2× the $14 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $25, or about $670 in cash — above the fair price. Located in Pittsburgh, PA.

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 $17. 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 $15 - $23 105%
Blue Cross Blue Shieldmajor $15 - $165 105%
Aetnamajor $16 - $25 112%
Cignamajor $15 105%
Humanamajor $224 - $1,674 1570%
AmeriHealth $15 - $30 105%
Fidelis Care $198 - $1,477 1388%
Geisinger $30 210%
HealthPartners $19 133%
UPMC Health Plan $14 - $28 98%
+ 6 smaller / regional plans $15 - $1,674
Excludes 3 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals