CMS Price Transparency Data

Hepatitis C antibody test

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $77
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 5.40x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 5.40x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $182 (1275%)
Insurance Median: $77 (540%)
Cash: $182 (1275% of Medicare)
Ins. Median: $77 (540% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 540% of the Medicare baseline (a markup of 440%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Simply $2 14%
United Hc $2 - $364 14%
Aetna $10 - $200 70%
Blue Cross Blue Shield $11 - $274 77%
Cigna $13 - $218 91%
Devoted $14 - $77 98%
Humana $14 - $237 98%
Careplus $15 - $73 105%
Freedom Health $16 112%
Optimum $16 112%
Evolutions $17 - $291 119%
Avmed $20 - $218 140%
Baycare $20 - $73 140%
Health First $21 - $200 147%
Multiplan $23 - $291 161%
Molina $71 498%
Emerging Therapies $218 1528%
UnitedHealthcare $218 1528%
First Health $273 1913%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL