CMS Price Transparency Data

Hepatitis C antibody test

Facility: University of Alabama Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $119
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 8.34x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at University of Alabama Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 8.34x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)
Insurance Median: $119 (834%)
Ins. Median: $119 (834% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 834% of the Medicare baseline (a markup of 734%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $13 - $296 91%
Birmingham Fc $14 98%
Blue Cross Blue Shield $14 98%
Cooper Green $14 98%
Davita Villagehealth $14 98%
Jefferson County Sheriff $14 98%
Triwest $14 98%
UnitedHealthcare $14 - $189 98%
Viva $14 - $17 98%
Cigna $15 - $233 105%
Ambetter / Centene $20 140%
University Of Alabama $30 - $174 210%
Aetna $37 - $212 259%
Coventry $39 - $281 273%
North Alabama Managed Care $39 - $226 273%
Comp One $43 - $251 301%
Alamed $45 - $261 315%
Construction Claims Management $45 - $260 315%
Corvel $48 - $278 336%
Evolutions $48 - $313 336%
Healthcare Alliance $48 - $278 336%
Novanet $48 - $313 336%
Prime Health Services $48 - $313 336%
Select Value Care $48 - $278 336%
Starcare $48 - $278 336%
Tethys $48 - $278 336%
Multiplan $49 - $285 343%
Department Of Labor $51 - $296 357%
Geha $51 - $296 357%
Gulf Health Plans $51 - $296 357%
Heritage Summit Health $51 - $296 357%
Mississippi Physicians $51 - $296 357%
Phifer $51 - $296 357%
Preferred Health Partnership $51 - $296 357%
Southern Nuclear $51 - $296 357%
Vantage Health Plan $51 - $296 357%
Galaxy Health Network $54 - $313 378%
National Provider Network $54 - $313 378%
North Mississippi Health Link $54 - $313 378%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals