CMS Price Transparency Data
Hepatitis C antibody test
Facility: St James Hospital
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$79
about 5.6× the $14 Medicare rate · typically $32–$79
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $79 Hospital's list price $124
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $15 - $118 | 105% |
| Blue Cross Blue Shieldmajor | $114 - $138 | 799% |
| Aetnamajor | $117 - $131 | 820% |
| Cignamajor | $65 - $131 | 456% |
| Humanamajor | $15 | 105% |
| GEHA | $105 - $118 | 736% |
| PacificSource | $87 - $131 | 610% |
| + 6 smaller / regional plans | $30 - $131 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at St James Hospital
Compare: Hepatitis C antibody test at other MT hospitals
- Phillips County Hospital - Cah · Malta $11
- Roundup Memorial Healthcare · Roundup $14
- St Peters Health · Helena $15
- Logan Health Medical Center · Kalispell $21
- St. Patrick Hospital · Missoula $23
- Great Falls Clinic Hospital · Great Falls $27
- Central Montana Medical Center · Lewistown $28
- Stillwater Billings Clinic · Columbus $29
Insurance negotiated median for the same procedure, sorted lowest first.