CMS Price Transparency Data

Hepatitis C antibody test

Facility: Wellspan Surgery and Rehabilitation Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 3.3× the $14 Medicare rate · typically $16–$58
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $46 Cash price $55 Hospital's list price $74

How we calculate the fair BaseRate →

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✓ Aetna✓ Cigna HumanaKaiser 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 $43 301%
Blue Cross Blue Shieldmajor $22 - $71 154%
Aetnamajor $15 - $65 105%
Cignamajor $61 - $66 427%
Geisinger $69 484%
UPMC Health Plan $69 484%
+ 1 smaller / regional plan $14 - $70
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (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: 55 Monument Road, York, PA 17403
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals