CMS Price Transparency Data

Hepatitis C antibody test

Facility: HCA Florida South Shore Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at HCA Florida South Shore Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.
Cash / Self-Pay
$54

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: $54 (378%)
Insurance Median: $15 (105%)
Cash: $54 (378% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $3 21%
Access 2 Healthcare Physicians Freedom Health $4 28%
Access 2 Healthcare Physicians Optimum $4 28%
Avmed $4 - $14 28%
Freedom Health Care $4 28%
Optimum Healthcare $4 28%
Simply Healthcare $8 - $17 56%
United $9 - $24 63%
Molina $10 - $15 70%
Caresource $13 91%
Evolutions Healthcare Systems $13 - $50 91%
Humana $13 - $16 91%
Aetna $14 - $16 98%
Devoted Health $14 98%
Ndms Definitive Care $14 98%
Sunshine State Health Plan $14 98%
United Va Ccn $14 98%
Wellmed $14 98%
Align Senior Care $15 105%
American Health Plan $15 105%
Baycare Health Plans $15 105%
Blue Cross Blue Shield $15 105%
Cigna $15 105%
Florida Complete Care $15 105%
Secur $15 105%
Sunshine State $15 105%
Ultimate Health Plan $15 105%
Wellcare $15 105%
Careplus $16 112%
Centurion $16 112%
Clear Spring Health $16 112%
Gold Kidney Of Florida $16 112%
Longevity Health Plan $17 119%
Oscar $19 133%
Solis Health Plan $21 147%
Plotkin Health $27 189%
Prime Health Sheriff $27 189%
Multiplan $41 - $46 287%
Corvel Corporation $122 855%
Rockport Healthcare Group $122 855%
Prime Health $124 869%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4016 Sun City Center Blvd, Sun City Center, FL 33573
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals