Hepatitis C antibody test
Facility: HCA Florida Fort Walton-Destin Hospital
Billing Code: 86803 (CPT)
- CPT Billing Code: 86803
- Insurance Median: $92
- Cash Discount Price: $599
- vs. Medicare Baseline: 6.45x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 645% of the Medicare baseline (a markup of 545%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $13 - $228 | 91% |
| United | $14 - $270 | 98% |
| United Behavioral Health | $14 | 98% |
| Wellmed | $14 | 98% |
| Triwest Healthcare Alliance | $14 | 98% |
| Ndms Definitive Care | $14 | 98% |
| Veterans Evaluation Services | $14 | 98% |
| Align Senior Care | $15 | 105% |
| Healthspring of Florida | $15 | 105% |
| Wellcare | $15 | 105% |
| Florida Complete Care | $15 | 105% |
| American Health Plan | $15 | 105% |
| Blue Cross Blue Shield | $15 | 105% |
| Sunshine State | $15 | 105% |
| Aetna | $15 - $180 | 105% |
| Gold Kidney of Florida | $16 | 112% |
| Centurion | $16 | 112% |
| Ultimate Health Plan | $16 | 112% |
| Clear Spring Health | $16 | 112% |
| Longevity Health Plan | $17 | 119% |
| Oscar | $19 | 133% |
| Simply Healthcare | $22 | 154% |
| Simply | $92 | 645% |
| Molina Healthcare | $114 - $192 | 799% |
| Corvel Corporation | $121 | 848% |
| Prime Health | $124 | 869% |
| Careworks (Rockport Community) | $128 | 897% |
| Avmed | $144 - $300 | 1009% |
| Sunshine State Health Plan | $153 | 1072% |
| Prime Health Sheriff | $300 | 2102% |
| Plotkin Health | $300 | 2102% |
| Naphcare | $390 | 2733% |
| Evolutions Healthcare | $390 - $539 | 2733% |
| Multiplan | $467 - $509 | 3273% |
| Evernorth | $479 | 3357% |
| PPO Next | $509 | 3567% |
| Novanet | $539 | 3777% |
| Beacon Health Options | $599 | 4198% |