CMS Price Transparency Data

Hepatitis C antibody test

Facility: Pali Momi Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$20
about 1.4× the $14 Medicare rate · typically $15–$22
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
1.4× Medicare
Medicare pays $14 Fair price $20 This hospital $20 Cash price $97 Hospital's list price $161

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 0 charge more and 5 charge less, among the 9 HI hospitals compared.

Cheapest $14 Priciest $20

Black dot = this hospital, among the 9 HI 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 $20 (about 1.4× the $14 Medicare rate). Pali Momi Medical Center charges insurers about $20, or about $97 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

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 $20 140%
Aetnamajor $83 - $153 582%
Kaiser Permanentemajor $78 - $144 547%
Devoted Health $15 105%
+ 10 smaller / regional plans $14 - $135
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

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals