CMS Price Transparency Data

Hepatitis C antibody test

Facility: HCA Florida Orange Park Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $18
  • Cash Discount Price: $254
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at HCA Florida Orange Park Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.26x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$254

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: $254 (1780%)
Insurance Median: $18 (126%)
Cash: $254 (1780% 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 Community $11 77%
Hospice Haven $13 91%
Humana $13 - $104 91%
Careplus $14 98%
Devoted Health $14 98%
Ndms Definitive Care $14 98%
United $14 - $114 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%
Clay County Sheriffs Office $18 126%
Simply Healthcare $18 - $39 126%
Optimum Healthcare $21 147%
Oscar $21 147%
Avmed $31 - $71 217%
Positive Healthcare $56 392%
Sunshine State Health Plan $65 456%
Molina Healthcare $69 484%
Aetna $76 533%
Medicare (plans) $114 799%
Corvel Corporation $120 841%
Prime Health $123 862%
Plotkin Health $127 890%
Multiplan $198 - $216 1388%
Evernorth $203 1423%
Evolutions Healthcare $203 - $216 1423%
Ppo Next $216 1514%
Novanet $229 1605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals