CMS Price Transparency Data

Hepatitis C antibody test

Facility: Roxborough Memorial Hospital

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–$22
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
About the fair price
1.2× Medicare
Medicare pays $14 Fair price $17 This hospital $17 Cash price $14 Hospital's list price $399

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 $17

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 $17 (about 1.2× the $14 Medicare rate). Roxborough Memorial Hospital charges insurers about $17, or about $14 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 - $21 98%
Blue Cross Blue Shieldmajor $14 - $62 98%
Cignamajor $14 98%
Humanamajor $11 77%
HealthPartners $14 - $21 98%
+ 7 smaller / regional plans $14 - $20
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals