CMS Price Transparency Data

Hepatitis C antibody test

Facility: Trident Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $21
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Trident Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.47x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $245 (1717%)
Insurance Median: $21 (147%)
Cash: $245 (1717% of Medicare)
Ins. Median: $21 (147% 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 - $184 84%
Advantage Hospice $14 98%
Aetna $14 - $37 98%
Agape Hospice $14 98%
Arcadian $14 98%
Blue Cross Blue Shield $14 - $233 98%
Companion $14 98%
Devoted Health $14 98%
Odyssey Hospice $14 98%
United $14 - $110 98%
United Behavioral Health $14 98%
Absolute Total Care $15 - $44 105%
Boldage Pace $15 105%
Cigna $15 105%
Clover $15 105%
Eon Health $15 105%
Molina $15 - $43 105%
Wellcare $15 105%
Universal Healthcare Group $17 119%
Blue Choice $18 126%
Corvel Corporation $20 140%
Employer'S Health Network $20 140%
Prime Health $20 - $208 140%
Blue Choice Health Plan $21 147%
Heritage Summit $21 147%
Seven Corners $25 175%
Select Health $28 196%
Naphcare $30 210%
Nhc Advantage $47 329%
Pruitt Health $47 329%
Sc State Employees $60 420%
Medcost $94 - $138 659%
Employers Health Network $110 771%
Occunet $122 855%
Vocational Rehab $132 925%
First Health $179 1254%
Mhnet $184 1289%
Evernorth $196 1374%
Multiplan $208 1458%
Novanet $220 1542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals