CMS Price Transparency Data

Hepatitis C antibody test

Facility: Little Falls Hospital

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 1.4× the $14 Medicare rate · typically $12–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Below the fair price — a good deal
about $6 under the fair price · 1.0× Medicare
Medicare pays $14 Fair price $20 This hospital $14 Cash price $60 Hospital's list price $221

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $14

Black dot = this hospital, among the 9 NY 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 $20 (about 1.4× the $14 Medicare rate). Little Falls Hospital charges insurers about $14, or about $60 in cash — below the fair price — a good deal. Located in Little Falls, NY.

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 $10 - $62 70%
Blue Cross Blue Shieldmajor $10 - $205 70%
Aetnamajor $15 - $66 105%
Cignamajor $188 1317%
Humanamajor $15 - $67 105%
CDPHP $10 - $64 70%
Fidelis Care $14 - $66 98%
MVP Health Care $10 - $64 70%
+ 1 smaller / regional plan $10 - $62

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals