CMS Price Transparency Data

Hepatitis C antibody test

Facility: Southeast Georgia Health System- Brunswick Campus

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $111
Cash Discount Price: Unavailable
vs. Medicare Baseline: 7.78x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Southeast Georgia Health System- Brunswick Campus is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 7.78x the Medicare baseline. Located in 2415 Parkwood Drive, Brunswick, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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%)

Insurance Median: $111 (778%)

Ins. Median: $111 (778% 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 778% of the Medicare baseline (a markup of 678%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup_Community_Care	$10	70%
Caresource_Georgia_Families	$10	70%
Peachstate_Health_Plan	$10	70%
Blue Cross Blue Shield	$14 - $131	98%
Caresource	$14 - $21	98%
Humana	$14 - $165	98%
UnitedHealthcare	$14	98%
United_Healthcare_Veterans_Administration	$14	98%
Aetna	$15 - $157	105%
Clover_Health	$15	105%
Devoted_Health	$15	105%
Pruitthealth	$15	105%
Ambetter / Centene	$23	161%
Sea_Island	$131	918%
Sghs_Meritain	$131	918%
Coventryone_Hix	$141	988%
United_Healthcare	$143	1002%
Medishare	$157	1100%
Choicecare	$165	1156%
Cigna	$165	1156%
Industry_Buying_Group_Ibg	$165	1156%
First_Health_Southcare	$166	1163%
One_Health_Great_West	$166	1163%
Pponext	$176	1233%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southeast Georgia Health System- Brunswick Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.