CMS Price Transparency Data

Hepatitis C antibody test

Facility: Novant Health Thomasville Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $154
Cash Discount Price: $150
vs. Medicare Baseline: 10.79x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Novant Health Thomasville Medical Center is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 10.79x the Medicare baseline. Located in 207 Old Lexington Rd Box 789, Thomasville, NC.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $150 (1051%)

Insurance Median: $154 (1079%)

Cash: $150 (1051% of Medicare)

Ins. Median: $154 (1079% 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 1079% of the Medicare baseline (a markup of 979%). 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
Blue Cross Blue Shield	$14 - $207	98%
Humana	$14 - $224	98%
Pace Of The Southern Piedmont	$14	98%
UnitedHealthcare	$14 - $194	98%
Aetna	$15 - $230	105%
Cigna	$15 - $175	105%
Liberty Health	$15	105%
Nc Department Of Public Safety	$29 - $52	203%
Carolina Complete	$38 - $52	266%
Amerihealth	$39 - $53	273%
Wellcare	$39 - $53	273%
Caresource North Carolina	$84 - $115	589%
Atlantic Corporation Dba Atlantic Packaging	$119 - $163	834%
Plotkin Health	$127 - $173	890%
Amps	$137 - $187	960%
Medcost	$179 - $271	1254%
Primary Physician Care	$186 - $253	1303%
Multiplan	$190 - $259	1331%
Phcs	$190 - $259	1331%
Employers Choice Network	$205 - $279	1437%
Three Rivers Provider Network	$205 - $279	1437%

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 $150.
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 Novant Health Thomasville 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.