CMS Price Transparency Data

Hepatitis C antibody test

Facility: St. Patrick Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$23
about 1.6× the $14 Medicare rate · typically $17–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$23
About the fair price
1.6× Medicare
Medicare pays $14 Fair price $23 This hospital $23 Cash price $72 Hospital's list price $91

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MT hospitals compared.

Cheapest $11 Priciest $29

Black dot = this hospital, among the 9 MT 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 $23 (about 1.6× the $14 Medicare rate). St. Patrick Hospital charges insurers about $23, or about $72 in cash — about the fair price. Located in Missoula, MT.

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $14 98%
Humanamajor $15 105%
PacificSource $15 - $18 105%
+ 2 smaller / regional plans $28 - $44

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals