CMS Price Transparency Data

Hepatitis C antibody test

Facility: HCA Florida Memorial Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $21
  • Cash Discount Price: $284
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at HCA Florida Memorial Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$284

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $284 (1990%)
Insurance Median: $21 (147%)
Cash: $284 (1990% of Medicare)
Ins. Median: $21 (147% 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 Community $11 77%
Hospice Haven $13 91%
Humana $13 - $82 91%
Aetna $14 - $85 98%
Careplus $14 98%
Devoted Health $14 98%
Ndms Definitive Care $14 98%
United $14 - $128 98%
United Behavioral Health $14 98%
Veterans Evaluation Services $14 98%
Wellmed $14 98%
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%
Gold Kidney $16 112%
Longevity $17 119%
Simply Healthcare $18 - $44 126%
Oscar $21 147%
Optimum Healthcare $24 168%
Avmed $34 - $80 238%
Positive Healthcare $62 434%
Sunshine State Health Plan $72 505%
Molina Healthcare $77 540%
Centurion $79 554%
Corizon $85 596%
City Of Jacksonville $120 841%
Corvel Corporation $120 841%
Prime Health $123 862%
Plotkin Health $142 995%
Multiplan $222 - $241 1556%
Evernorth $227 1591%
Evolutions Healthcare $227 - $241 1591%
Ppo Next $241 1689%
Novanet $256 1794%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals