Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HEPATITIS C AB
Low
$8
Average
$67
Median
$53
High
$416
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
127 hospitals; the 90th percentile is 9.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
216 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $79 | $79 | — | — | 416 | $79 – $79 |
| 2 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $22 | $22 | — | — | 292 | $22 – $22 |
| 3 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $31 | $31 | $9 | 28% | 255 | $23 – $40 |
| 4 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $40 | $33 | $13 | 40% | 239–248 | $14 – $44 |
| 5 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $44 | $44 | $2 | 5% | 188 | $42 – $46 |
| 6 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $8 | $8 | — | — | 155 | $8 – $8 |
| 7 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $8 | $8 | — | — | 155 | $8 – $8 |
| 8 | Avera Behavioral Health Hospital Sioux Falls, SD case rate · outpatient | 2 | $184 | $184 | — | — | 106 | $184 – $184 |
| 9 | Avera Specialty Hospital Sioux Falls, SD case rate · outpatient | 2 | $184 | $184 | — | — | 106 | $184 – $184 |
| 10 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $22 | $22 | — | — | 100 | $22 – $22 |
| 11 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $25 | $25 | — | — | 82 | $25 – $25 |
| 12 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $25 | $25 | — | — | 82 | $25 – $25 |
| 13 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $31 | $50 | $36 | 72% | 44 | $9 – $102 |
| 14 | Avera St. Benedicts Parkston, SD outpatient | 1 | $30 | $30 | — | — | 35 | $30 – $30 |
| 15 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | $87 | 74% | 35 | $30 – $205 |
| 16 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $23 | $23 | — | — | 28 | $23 – $23 |
| 17 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $46 | $46 | — | — | 18 | $46 – $46 |
| 18 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $46 | $46 | — | — | 18 | $46 – $46 |
| 19 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $22 | $22 | — | — | 4–40 | $22 – $22 |
| 20 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $23 | $23 | — | — | 4–40 | $23 – $23 |
| 21 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $40 | $33 | $13 | 40% | 4–40 | $14 – $44 |
| 22 | Avera DeSmet De Smet, SD outpatient | 1 | $67 | $67 | — | — | 2–20 | $67 – $67 |
| 23 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | $13 | 18% | 2–20 | $58 – $83 |
| 24 | Avera Flandreau Hospital Flandreau, SD outpatient | 1 | $29 | $29 | — | — | 2–20 | $29 – $29 |
| 25 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | $87 | 74% | 2–20 | $30 – $205 |
← Payers reporting CPT 86803 · Snapshot 20261111T120946Z-9134e7f7