CMS Price Transparency Data

Hepatitis C antibody test

Facility: CHI Mercy Health

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$51
about 3.6× the $14 Medicare rate · typically $19–$96
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $51 Cash price $58 Hospital's list price $97

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $31 - $125 217%
Blue Cross Blue Shieldmajor $15 - $65 105%
HealthPartners $41 - $145 287%
Medica $14 - $145 98%
Sanford Health Plan $35 - $124 245%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 570 Chautauqua Blvd, Valley City, ND 58072
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals