CMS Price Transparency Data

Hepatitis C antibody test

Facility: North Hawaii Community Hospital, Inc

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15
about 1.1× the $14 Medicare rate · typically $14–$16
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $14 Fair price $15 This hospital $14 Cash price $188 Hospital's list price $269

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Lowest price of the 9 HI hospitals we have prices for — a strong deal.

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 $15 (about 1.1× the $14 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $14, or about $188 in cash — about the fair price. Located in Kamuela, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $14 98%
Kaiser Permanentemajor $14 - $40 98%
+ 8 smaller / regional plans $14 - $38

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals