CMS Price Transparency Data

Hepatitis C antibody test

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$23
about 1.6× the $14 Medicare rate · typically $14–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $9 under the fair price · 1.0× Medicare
Medicare pays $14 Fair price $23 This hospital $14 Cash price $254 Hospital's list price $254

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

Lowest price of the 7 ND hospitals we have prices for — a strong deal.

Cheapest $14 Priciest $29

Black dot = this hospital, among the 7 ND 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). PAM Rehabilitation Hospital of Fargo charges insurers about $14, or about $254 in cash — below the fair price — a good deal. Located in Fargo, ND.

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✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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%
Cignamajor $152 - $178 1065%
Medica $54 - $108 378%
Sanford Health Plan $118 827%
UCare $14 98%
+ 5 smaller / regional plans $14 - $190
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL