CMS Price Transparency Data

Hepatitis C antibody test

Facility: St Christopher's Hospital for Children

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$21
about 1.5× the $14 Medicare rate · typically $16–$29
modeled estimate · not a bill or quote
What this hospital charges insurers
$29
Above the fair price
about $8 over the fair price · 2.1× Medicare
Medicare pays $14 Fair price $21 This hospital $29 Cash price $180 Hospital's list price $360

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 $29

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 $21 (about 1.5× the $14 Medicare rate). St Christopher's Hospital for Children charges insurers about $29, or about $180 in cash — above the fair price. Located in Philadelphia, 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 $21. 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.

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 $17 - $28 119%
Blue Cross Blue Shieldmajor $51 - $195 357%
Aetnamajor $33 - $270 231%
Cignamajor $22 154%
AmeriHealth $19 133%
Geisinger $23 - $162 161%
HealthPartners $81 568%
UPMC Health Plan $34 238%
+ 3 smaller / regional plans $18 - $42

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.

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Facility Profile & Credentials

  • Address: 160 East Erie Ave, Philadelphia, PA 19134
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens