CMS Price Transparency Data
Hepatitis C antibody test
Facility: Brookings Health System
Billing Code: 86803 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$59
about 4.2× the $14 Medicare rate · typically $36–$63
modeled estimate · not a bill or quote
Medicare pays $14 Fair price $59 Cash price $50 Hospital's list price $101
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $55 - $112 | 385% |
| Blue Cross Blue Shieldmajor | $53 | 371% |
| Humanamajor | $59 - $122 | 413% |
| Medica | $26 - $99 | 182% |
| Sanford Health Plan | $63 - $128 | 441% |
| + 1 smaller / regional plan | $59 - $122 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Brookings Health System
Compare: Hepatitis C antibody test at other SD hospitals
- Black Hills Surgical Hospital LLC · Rapid City $14
- Sanford Usd Medical Center · Sioux Falls $15
- Sanford Medical Center Aberdeen · Aberdeen $15
- Faulkton Area Medical Center · Faulkton $15
- Monument Health Rapid City Hospital · Rapid City $23
- Dunes Surgical Hospital · Dakota Dunes $24
Insurance negotiated median for the same procedure, sorted lowest first.