CMS Price Transparency Data

Hepatitis C antibody test

Facility: Adair County Memorial Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 3.3× the $14 Medicare rate · typically $14–$94
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $46 Cash price $68 Hospital's list price $90

How we calculate the fair BaseRate →

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✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $50 - $72 350%
Blue Cross Blue Shieldmajor $43 301%
Aetnamajor $58 406%
GEHA $86 603%
+ 3 smaller / regional plans $52 - $76
Excludes 2 rental-network / third-party entries (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: 609 Se Kent, Greenfield, IA 50849
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals