CMS Price Transparency Data

Hepatitis C antibody test

Facility: Doctors Hospital

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $15
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Doctors Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.05x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$297

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: $297 (2081%)
Insurance Median: $15 (105%)
Cash: $297 (2081% 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
Caresource $11 77%
Aetna $12 - $164 84%
Humana $12 - $14 84%
Blue Cross Blue Shield $13 - $16 91%
Devoted Health $14 98%
Friday Health $14 98%
Health Net $14 98%
Healthspring $14 98%
Regency Hospice $14 98%
St Joseph Hospice $14 98%
United $14 - $134 98%
Absolute Total Care $15 - $53 105%
Clover $15 105%
Coventry $15 105%
Eon Health $15 105%
Georgia Assurance $15 105%
Shared Health $15 105%
Wellcare $15 - $59 105%
Dept Of Community Health $17 119%
Health One Alliance $17 119%
Qtc Medical Group $17 119%
Blue Choice $18 126%
Ambetter / Centene $19 133%
Amerigroup $42 294%
Nhc Advantage $56 392%
Pruitt Health $56 392%
Peach State $59 413%
Centurion $82 575%
Americas 1St Choice $83 582%
Medcost $149 - $190 1044%
Kaiser Permanente $162 1135%
Multiplan $178 - $267 1247%
Performax $202 1416%
First Health $223 1563%
Employer'S Health Network $238 1668%
Novanet $267 1871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals