CMS Price Transparency Data

Hepatitis C antibody test

Facility: HCA Florida Lake City Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $18
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at HCA Florida Lake City Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $119 (834%)
Insurance Median: $18 (126%)
Cash: $119 (834% of Medicare)
Ins. Median: $18 (126% 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
Hospice Of North Central Fl $13 91%
Humana $13 - $24 91%
Avmed $14 - $59 98%
Ndms Definitive Care $14 98%
United $14 - $53 98%
Wellmed $14 98%
Aetna $15 - $36 105%
Align Senior Care $15 105%
American Health Plan $15 105%
Blue Cross Blue Shield $15 105%
Cigna $15 105%
Florida Complete Care $15 105%
Sunshine State $15 105%
Wellcare $15 105%
Centurion $16 112%
Clear Spring Health $16 112%
Gold Kidney Of Florida $16 112%
Ultimate Health Plan $16 112%
Longevity Health Plan $17 119%
Oscar $17 119%
Simply $18 126%
Simply Healthcare $18 126%
Evolutions $27 - $101 189%
Sunshine State Health Plan $30 210%
Molina Healthcare $38 266%
Plotkin Health $59 413%
Prime Health Sheriff $59 413%
Hamilton County Jail $64 448%
Multiplan $93 - $101 652%
Ppo Next $101 708%
Novanet $107 750%
Corvel Corporation $113 792%
Prime Health $115 806%
Careworks (Rockport Community) $119 834%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals