CMS Price Transparency Data

Hepatitis C antibody test

Facility: Grand Strand Regional Medical Center

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86803
  • Insurance Median: $25
  • Cash Discount Price: $385
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Hepatitis C antibody test at Grand Strand Regional Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 1.75x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.
Cash / Self-Pay
$385

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $385 (2698%)
Insurance Median: $25 (175%)
Cash: $385 (2698% of Medicare)
Ins. Median: $25 (175% 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 - $327 84%
Aetna $14 - $37 98%
Blue Cross Blue Shield $14 - $366 98%
Devoted Health $14 98%
United $14 - $173 98%
United Behavioral Health $14 98%
Absolute Total Care $15 - $69 105%
Boldage Pace $15 105%
Cigna $15 - $124 105%
Clover $15 105%
Eon Health $15 105%
Molina $15 - $43 105%
Wellcare $15 105%
Health Team Advantage $16 112%
Universal Healthcare Group $17 119%
Blue Choice $18 126%
Corvel Corporation $20 140%
Employer'S Health Network $20 140%
Prime Health $20 - $327 140%
Heritage Summit $21 147%
Group Health $22 154%
Select Health $28 196%
Blue Choice Health Plan $39 273%
Sc State Employees $60 420%
Nhc Advantage $73 512%
Pruitt Health $73 512%
Occunet $192 1345%
Medcost $193 - $263 1352%
Vocational Rehab $208 1458%
Employers Health Network $212 1486%
Evernorth $308 2158%
First Health $318 2228%
Global Excel Management $320 2242%
Multiplan $327 2292%
National Choicecare $327 2292%
Novanet $346 2425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 809 82Nd Parkway, Myrtle Beach, SC 29572
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals