CMS Price Transparency Data

Hepatitis C antibody test

Facility: Broward Health Coral Springs

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $71
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 4.98x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Broward Health Coral Springs is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 4.98x the Medicare baseline. Located in 3000 Coral Hills Dr, Coral Springs, FL.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $129 (904%)
Insurance Median: $71 (498%)
Cash: $129 (904% of Medicare)
Ins. Median: $71 (498% 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 498% of the Medicare baseline (a markup of 398%). 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
Aetna $9 - $103 63%
Neighborhood Health Partnership $9 63%
Simply Healthy Kids $9 63%
United $9 63%
Careplus Health Plan $15 105%
Clear Springs Healthcare $15 105%
Devoted $15 - $58 105%
Doctor'S Healthcare $15 105%
Florida Pace Center $15 105%
Humana $15 105%
Medica Healthcare $15 105%
Preferred Care Partners $15 105%
United Aarp $15 105%
United/Wellmed $15 105%
Amerihealth Caritas $16 112%
Community Care Plan $21 147%
Freedom Health $32 224%
Healthsun Health Plan $32 224%
Simply Healthcare $32 224%
Wellpath $45 315%
Cigna $58 406%
Avmed $59 - $65 413%
Wellcare $65 456%
Sunshine State Health Plan Healthy Kids $71 498%
Curative Administrators, Llc $77 540%
Wellcare Healthy Kids $77 540%
Tour + Med Assistance International $84 589%
Gmmi/Canadian Medical Network $90 631%
Quality Health Management $90 631%
Trident Global Assistance International $90 631%
United International $90 631%
Us Maritime Consultants $90 631%
Dimension Health/International Plus $103 722%
Medcare International $103 722%
Seguro Reservas International $103 722%
Star Healthcare Network $103 722%
Viking Cruises $103 722%
World Medical Management Solutions $103 722%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 Coral Hills Dr, Coral Springs, FL 33065
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals