CMS Price Transparency Data

Hepatitis C antibody test

Facility: HCA Florida North Florida Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at HCA Florida North Florida Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$46

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: $46 (322%)
Insurance Median: $15 (105%)
Cash: $46 (322% 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
United $1 - $40 7%
Avmed $2 - $44 14%
Corizon Phs $2 - $53 14%
Plotkin Health $2 - $44 14%
Prime Health Sheriff $2 - $44 14%
Beacon Health Options $3 - $88 21%
Evernorth $3 - $71 21%
Evolutions Healthcare $3 - $75 21%
Multiplan $3 - $75 21%
Novanet $3 - $79 21%
Ppo Next $3 - $75 21%
Hospice Of North Central Fl $13 91%
Humana $13 - $18 91%
Ndms Definitive Care $14 98%
Simply $14 98%
United Behavioral Health $14 98%
Wellmed $14 98%
Aetna $15 - $26 105%
Align Senior Care $15 105%
American Health Plan $15 105%
Blue Cross Blue Shield $15 105%
Capital Health Plan $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%
Molina Healthcare $17 - $28 119%
Oscar $17 119%
Simply Healthcare $18 126%
Evolutions $20 140%
Sunshine State Health Plan $23 161%
Corvel Corporation $127 890%
Prime Health $129 904%
Careworks (Rockport Community) $133 932%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals