CMS Price Transparency Data

Hepatitis C antibody test

Facility: Baptist Medical Center - Nassau

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $14
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Baptist Medical Center - Nassau is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $101 (708%)
Insurance Median: $14 (98%)
Cash: $101 (708% of Medicare)
Ins. Median: $14 (98% 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
Blue Cross Blue Shield $5 - $200 35%
Amerigroup Of Georgia $6 42%
Amerihealth Caritas $6 42%
Avmed $6 - $231 42%
Daniel Memorial $6 42%
Florida Community Care $6 - $15 42%
Humana $6 42%
Nassaua County Sheriff'S Office $6 42%
Simply Healthcare Plans $6 - $7 42%
Simply Healthcare Plans - Cha $6 42%
Sunshine State Health Plan $6 42%
United Community Plan $6 42%
Vivida Health $6 42%
Aetna $7 - $246 49%
Borland Groover $7 - $123 49%
Molina Healthcare Of Florida $7 49%
Occunet $7 - $123 49%
Capital Health Plan $8 - $142 56%
Centivo $8 - $262 56%
Northeast Florida State Hospital $8 - $129 56%
UnitedHealthcare $8 - $151 56%
Geo Group $9 - $154 63%
Watchtower $10 - $169 70%
Cigna $11 - $235 77%
Fscj Student Insurance $11 - $185 77%
Savannah Grand Of Amelia Island $11 - $185 77%
Suddath Company $11 - $194 77%
Medicaid / KanCare $12 - $200 84%
Peach State Health Plan $12 - $200 84%
Community Hospice Of Northeast Florida $14 98%
Pace $14 98%
Phcs $14 - $231 98%
Tomorrow'S Rainbow $14 98%
Va Ccn $14 98%
Devoted $15 105%
Evolutions Healthcare $16 - $277 112%
Multiplan $16 - $277 112%
Upmc $16 112%
Corvel $18 - $302 126%
Coventry Workers Comp $18 - $302 126%
Ambetter / Centene $34 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals