CMS Price Transparency Data

Hepatitis C antibody test

Facility: Colleton Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $20
  • Cash Discount Price: $375
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Colleton Medical Center is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $375. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.40x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$375

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $375 (2628%)
Insurance Median: $20 (140%)
Cash: $375 (2628% of Medicare)
Ins. Median: $20 (140% 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
Humana $12 - $351 84%
Aetna $14 - $226 98%
Arcadian $14 98%
Blue Cross Blue Shield $14 - $370 98%
Devoted Health $14 98%
Odyssey Hospice $14 98%
United $14 - $207 98%
United Behavioral Health $14 98%
Absolute Total Care $15 - $70 105%
Boldage Pace $15 105%
Cigna $15 - $252 105%
Clover $15 105%
Eon Health $15 105%
Molina $15 - $43 105%
Wellcare $15 105%
Align Networks $16 112%
Universal Healthcare Group $17 119%
Blue Choice $18 126%
Corvel Corporation $20 140%
Employer'S Health Network $20 140%
Prime Health $20 - $332 140%
Heritage Summit $21 147%
Seven Corners $25 175%
Select Health $28 196%
Medical Development $30 210%
Naphcare $30 210%
Blue Choice Health Plan $55 - $58 385%
Sc State Employees $60 - $67 420%
Nhc Advantage $74 519%
Pruitt Health $74 519%
Employers Health Network $176 1233%
Value Option $195 1367%
Vocational Rehab $211 1479%
Medcost $220 - $285 1542%
Mhnet $292 2046%
Evernorth $312 2186%
Multiplan $332 2327%
North American Administrators $332 2327%
First Health $351 2460%
Novanet $351 2460%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals