CMS Price Transparency Data

Hepatitis C antibody test

Facility: Memorial Hospital Miramar

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $13
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Memorial Hospital Miramar is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 0.91x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $14 (98%)
Insurance Median: $13 (91%)
Cash: $14 (98% of Medicare)
Ins. Median: $13 (91% 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
Amerihealth Caritas $2 - $69 14%
Avmed $2 - $133 14%
Community Care Plan $2 - $73 14%
Aetna $3 - $172 21%
Cigna $3 - $119 21%
Molina $3 - $78 21%
Employers Health Network $5 - $138 35%
Sunshine $6 - $181 42%
Allianz $9 - $280 63%
Axis $9 - $280 63%
Desjardins Financial Security Life Assurance Company $9 - $280 63%
Emerging Therapy Solutions $9 - $259 63%
Global Health Claims $9 - $367 63%
Global Medical Management $9 - $280 63%
Global Reach Health $9 - $280 63%
National Healthcare Solutions $9 - $280 63%
Plotkin $9 - $280 63%
Quality Health Management $9 - $280 63%
Quebec Inc $9 - $280 63%
Star Healthcare Network $9 - $280 63%
World Medical Care $9 - $280 63%
Worldwide Managed Care Partners $9 - $280 63%
Worldwide Medical Assurance $9 - $280 63%
Dimension Health $10 - $291 70%
Health Sun $11 - $324 77%
Gallagher Bassett $12 - $345 84%
Florida Community Care $15 105%
Humana $15 105%
Wellcare $15 - $16 105%
Florida Pace Centers $16 112%
Solis Health Plan $16 112%
Align Senior Care $17 119%
UnitedHealthcare $17 - $46 119%
Longevity $18 126%
Prime Health Services $107 750%
Corvel $132 925%
Employers Choice Network $132 925%
First Health $132 925%
Broward County $718 - $2,726 5032%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals