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
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.
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Other Procedures at Adair County Memorial Hospital
Compare: Hepatitis C antibody test at other IA hospitals
- Veterans Memorial Hospital · Waukon $12
- Davis County Hospital · Bloomfield $12
- Horn Memorial Hospital · Ida Grove $12
- Monroe County Hospital · Albia $13
- Mary Greeley Medical Center · Ames $14
- Genesis Medical Center-Davenport · Davenport $14
- Mercyone Clinton Medical Center · Clinton $14
- Mercyone Des Moines Medical Center · Des Moines $14
Insurance negotiated median for the same procedure, sorted lowest first.