CMS Price Transparency Data

Hepatitis C antibody test

Facility: UPMC Kane

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$26
about 1.9× the $14 Medicare rate · typically $14–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 over the fair price · 2.0× Medicare
Medicare pays $14 Fair price $26 This hospital $28 Cash price $75 Hospital's list price $125

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 $28

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 $26 (about 1.9× the $14 Medicare rate). UPMC Kane charges insurers about $28, or about $75 in cash — about the fair price. Located in Kane, 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✓ 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 $20 - $53 140%
Blue Cross Blue Shieldmajor $28 - $75 196%
Aetnamajor $21 - $50 147%
Cignamajor $84 - $2,927 589%
AmeriHealth $30 - $52 210%
Geisinger $26 182%
UPMC Health Plan $14 - $72 98%
+ 5 smaller / regional plans $16 - $124
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: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals