CMS Price Transparency Data

Hepatitis C antibody test

Facility: Parrish Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $13
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Parrish Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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%)
Cash / Self-Pay: $8 (56%)
Insurance Median: $13 (91%)
Cash: $8 (56% of Medicare)
Ins. Median: $13 (91% 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.

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
Aetna $2 - $10 14%
Blue Cross Blue Shield $2 - $20 14%
Careplus Health Plans Inc. $2 - $4 14%
Florida Health Care Plan $2 14%
Florida Health Care Plan Commercial $2 - $16 14%
Webtpa $2 14%
Health First Health Plans $3 - $26 21%
Humana $3 - $13 21%
Pmc Hpi Employee Plan $5 - $10 35%
Pmc Preferred Benefit Administrators $5 - $10 35%
Freedom Health $6 - $14 42%
Healthease/Staywell Of Florida Inc $6 42%
Medicaid / KanCare $6 - $10 42%
Molina Healthcare Of Florida $6 42%
Sunshine State Health Plan $6 42%
Brevard County Commissioners $7 - $12 49%
Brevard School Board $7 - $12 49%
Cigna $8 - $18 56%
Florida Mhs Inc $10 70%
Simply Healthcare Plans $10 70%
Veterans $10 - $11 70%
UnitedHealthcare $11 - $15 77%
Beech Street Corporation $13 - $25 91%
Coventry Healthcare $13 - $23 91%
Coventry Helthcare Inc $13 - $23 91%
First Health Group Corp $13 - $23 91%
Multiplan Inc $13 - $25 91%
Private Healthcare Systems Inc $13 - $25 91%
Tricare $13 91%
Early Steps $14 - $26 98%
Medicare (plans) $14 98%
No Contract $14 - $26 98%
Self Pay $14 - $26 98%
Auto $28 - $29 196%
Corvel Healthcare Corporation $131 918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals