CMS Price Transparency Data

Hepatitis C antibody test

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $111
Cash Discount Price: $198
vs. Medicare Baseline: 7.78x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Atrium Health Floyd Polk Medical Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 7.78x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$198

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%)

Cash / Self-Pay: $198 (1388%)

Insurance Median: $111 (778%)

Cash: $198 (1388% of Medicare)

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
Peach State Health Plan	$10	70%
Blue Cross Blue Shield	$18 - $296	126%
Cigna	$36 - $238	252%
Amerigroup	$54	378%
Caresource	$54 - $119	378%
Awc Networks	$77	540%
Oscar Health Plan	$77 - $139	540%
Aetna	$79 - $269	554%
Georgia Assurance	$79	554%
Humana	$79 - $257	554%
UnitedHealthcare	$79 - $297	554%
Wellcare	$79	554%
Alliant Health Plans	$99 - $158	694%
Clover	$103	722%
Ambetter / Centene	$119	834%
Multiplan	$277	1941%
Private Health Care Systems	$337	2362%
Beech Street	$356	2495%

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 $198.
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 Atrium Health Floyd Polk Medical Center 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.