CMS Price Transparency Data

Hepatitis C antibody test

Facility: UF Health Shands Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at UF Health Shands Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $57 (399%)
Insurance Median: $15 (105%)
Cash: $57 (399% of Medicare)
Ins. Median: $15 (105% 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 $6 - $85 42%
Beacon Health Strategies $6 42%
Florida Community Care $6 42%
Humana $6 - $14 42%
Sunshine State Health Plan $6 42%
UnitedHealthcare $6 - $15 42%
Amerihealth Caritas Florida $7 49%
Community Care Plan $7 49%
Molina $7 49%
Simply Healthcare $8 56%
Avmed $14 98%
Blue Cross Blue Shield $14 - $56 98%
Capital Health Plan $14 - $52 98%
North Central Hospice $14 98%
Vha $14 98%
Wellcare $14 98%
Carelon Health $15 105%
Careplus $15 105%
Ahf Mco Of Fl $16 112%
Devoted Health Plan $16 112%
Freedom Health- Inc./Optimum Healthcare- Inc. $16 112%
Positive Healthcare Partners $16 112%
Ghilcrest County $18 126%
Levy County $18 126%
Wellpath $23 161%
Uaa $39 273%
Ambetter / Centene $41 287%
Northeast Fl Hospital $45 315%
Florida Health Care Plan $52 364%
Health First $72 505%
Prime Health Services $72 505%
Archbold Medical Center $77 540%
Cigna $77 540%
Genex $77 540%
Corvel Corp $88 617%
Geha $93 652%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals