CMS Price Transparency Data

Hepatitis C antibody test

Facility: Ucf Lake Nona Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $19
  • Cash Discount Price: $317
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Ucf Lake Nona Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $317. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.33x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.
Cash / Self-Pay
$317

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $317 (2221%)
Insurance Median: $19 (133%)
Cash: $317 (2221% of Medicare)
Ins. Median: $19 (133% 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
Humana $13 - $89 91%
Devoted Health $14 98%
Ndms Definitive Care $14 98%
United $14 - $143 98%
Wellmed $14 98%
Aetna $15 - $95 105%
Align Senior Care $15 105%
American Health Plan $15 105%
Avmed $15 - $159 105%
Blue Cross Blue Shield $15 105%
Cigna $15 105%
Fl Health Care Plan $15 105%
Florida Complete Care $15 105%
Wellcare $15 105%
Careplus $16 112%
Centurion $16 112%
Clear Spring Health $16 112%
Gold Kidney Of Florida $16 112%
Ultimate Health Plan $16 112%
Longevity Health Plan $17 119%
Oscar $21 147%
Solis Health Plan $21 147%
Simply Healthcare $22 154%
Simply $49 343%
Molina Healthcare $60 - $86 420%
Evolutions $73 512%
Sunshine State Health Plan $81 568%
Corvel Corporation $120 841%
Prime Health $123 862%
Plotkin Health $159 1114%
Prime Health Sheriff $159 1114%
Novanet $286 2004%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6700 Lake Nona Blvd, Orlando, FL 32827
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals