CMS Price Transparency Data

Hepatitis C antibody test

Facility: Oviedo Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Oviedo Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$45

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: $45 (315%)
Insurance Median: $15 (105%)
Cash: $45 (315% 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
Aetna $2 - $25 14%
Avmed $2 - $42 14%
Florida Health Care Plan $2 - $32 14%
Sunshine State Health Plan $2 - $21 14%
United $2 - $38 14%
Freedom Health $6 42%
Optimum $6 42%
Humana $13 - $57 91%
Simply $13 91%
Devoted Health $14 98%
Ndms Definitive Care $14 98%
Wellmed $14 98%
Align Senior Care $15 105%
American Health Plan $15 105%
Blue Cross Blue Shield $15 105%
Cigna $15 105%
Fl Health Care Plan $15 105%
Florida Complete Care $15 105%
Sunshine State $15 105%
Wellcare $15 105%
Careplus $16 112%
Centurion $16 112%
Clear Spring Health $16 112%
Gold Kidney Of Florida $16 112%
Molina Healthcare $16 112%
Ultimate Health Plan $16 112%
Longevity Health Plan $17 119%
Evolutions $19 133%
Oscar $21 147%
Solis Health Plan $21 147%
Simply Healthcare $22 154%
Prime Health $123 862%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals