CMS Price Transparency Data

Hepatitis C antibody test

Facility: Faulkton Area Medical Center

Billing Code: 86803 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$17
about 1.2× the $14 Medicare rate · typically $15–$79
modeled estimate · not a bill or quote
What this hospital charges insurers
$15
Below the fair price — a good deal
about $2 under the fair price · 1.1× Medicare
Medicare pays $14 Fair price $17 This hospital $15 Cash price $180 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

One of the lower prices — 2 of 5 other SD hospitals charge more for the same procedure.

Cheapest $14 Priciest $24

Black dot = this hospital, among the 6 SD 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 $17 (about 1.2× the $14 Medicare rate). Faulkton Area Medical Center charges insurers about $15, or about $180 in cash — below the fair price — a good deal. Located in Faulkton, SD.

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 $10 70%
Blue Cross Blue Shieldmajor $14 98%
Medica $53 371%
+ 2 smaller / regional plans $15 - $25

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1300 Oak Street Post Office Box 100, Faulkton, SD 57438
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals