CMS Price Transparency Data

Hepatitis C antibody test

Facility: Rhode Island Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$22
about 1.6× the $14 Medicare rate · typically $15–$27
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $1 under the fair price · 1.5× Medicare
Medicare pays $14 Fair price $22 This hospital $21 Cash price $100 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $14 Priciest $26

Black dot = this hospital, among the 5 RI 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 $22 (about 1.6× the $14 Medicare rate). Rhode Island Hospital charges insurers about $21, or about $100 in cash — about the fair price. Located in Providence, RI.

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 $28 196%
Blue Cross Blue Shieldmajor $10 - $16 70%
Aetnamajor $15 - $88 105%
Cignamajor $14 - $60 98%
Harvard Pilgrim $72 505%
Tufts Health Plan $66 463%

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals