CMS Price Transparency Data

Hepatitis C antibody test

Facility: Keokuk County Health Center

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$49
about 3.5× the $14 Medicare rate · typically $14–$82
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $49 Cash price $92 Hospital's list price $132

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $92 - $102 645%
Blue Cross Blue Shieldmajor $40 - $106 280%
Aetnamajor $102 - $112 715%
Humanamajor $102 715%
Molina $106 743%
WellCare $102 715%
+ 1 smaller / regional plan $106

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: 23019 Highway 149, Sigourney, IA 52591
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals