Biochemical assays for evaluation of chronic hepatitis c virus infection
Medicare pricing data for 118 providers across 27 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biochemical assays for evaluation of chronic hepatitis c virus infection (HCPCS code 81596) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.69, but hospitals typically charge $314.51 — a 4.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $70.69, your out-of-pocket cost would be approximately $14.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $70.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $71 | $308 | 1 | 924 | +0.1% |
| Hawaii | $71 | $284 | 2 | 52 | +0.1% |
| Indiana | $71 | $256 | 2 | 15 | +0.1% |
| Kansas | $71 | $309 | 3 | 343 | +0.1% |
| Minnesota | $71 | $330 | 2 | 714 | +0.1% |
| Mississippi | $71 | $210 | 2 | 17 | +0.1% |
| Nevada | $71 | $309 | 1 | 298 | +0.1% |
| Ohio | $71 | $311 | 6 | 338 | +0.1% |
| Oregon | $71 | $263 | 2 | 16 | +0.1% |
| Tennessee | $71 | $226 | 4 | 104 | +0.1% |
| Virginia | $71 | $300 | 6 | 241 | +0.1% |
| Wisconsin | $71 | $149 | 2 | 20 | +0.1% |
| Alabama | $71 | $326 | 1 | 77 | +0.1% |
| California | $71 | $312 | 14 | 3,431 | +0.1% |
| Colorado | $71 | $316 | 3 | 78 | +0.1% |
| North Carolina | $71 | $326 | 3 | 2,439 | +0.1% |
| Massachusetts | $71 | $309 | 4 | 900 | +0.1% |
| New Jersey | $71 | $314 | 5 | 1,989 | +0.1% |
| Pennsylvania | $71 | $304 | 4 | 331 | +0.1% |
| Texas | $71 | $303 | 8 | 1,580 | +0.0% |
| New York | $71 | $413 | 5 | 318 | -0.0% |
| Florida | $71 | $310 | 6 | 1,852 | -0.1% |
| Maryland | $71 | $291 | 4 | 184 | -0.2% |
| Illinois | $71 | $310 | 3 | 291 | -0.3% |
| Washington | $70 | $289 | 3 | 193 | -0.3% |
| Arizona | $70 | $328 | 3 | 262 | -0.6% |
| Oklahoma | $70 | $340 | 6 | 456 | -1.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber