CMS Price Transparency Data

Hepatitis C antibody test

Facility: Memorial Health Meadows Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $50
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Memorial Health Meadows Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 3.50x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $274 (1920%)
Insurance Median: $50 (350%)
Cash: $274 (1920% of Medicare)
Ins. Median: $50 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Ambetter / Centene $9 - $17 63%
Caresource $11 77%
Aetna $12 - $211 84%
Blue Cross Blue Shield $14 - $152 98%
Devoted Health $14 98%
Eon Health Dme $14 98%
Friday Health $14 98%
Healthspring $14 98%
Humana $14 98%
United $14 - $132 98%
Vidalia Health $14 98%
Clover $15 105%
Eon Health $15 105%
Georgia Assurance $15 105%
Shared Health $15 105%
Wellcare $15 105%
Health One Alliance $17 119%
Amerigroup $32 - $36 224%
Pruitt Health $48 - $56 336%
Peach State $51 - $59 357%
Memorial Health Plan $56 - $132 392%
Centurion $70 - $81 491%
Multiplan $229 - $264 1605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Meadows Parkway, Vidalia, GA 30474
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals