86008

Measurement of antibody (ige) to allergic substance, recombinant or purified component, each

Medicare pricing data for 192 providers across 27 states

🤖AI Overview

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

Measurement of antibody (ige) to allergic substance, recombinant or purified component, each (HCPCS code 86008) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.54, but hospitals typically charge $51.13 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.51

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.54, your out-of-pocket cost would be approximately $3.51. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.54
Average Hospital Charge
$51.13
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$51.13
Medicare Allowed$17.54
Medicare Payment$17.54

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $17.54 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$18$3541,100+0.2%
Georgia$18$3451,315+0.2%
Hawaii$18$201296+0.2%
Illinois$18$363311+0.2%
Kansas$18$424563+0.2%
Louisiana$18$2813576+0.2%
Massachusetts$18$344302+0.2%
Minnesota$18$59876+0.2%
Nevada$18$341142+0.2%
New Jersey$18$4775,565+0.2%
Oklahoma$18$623214+0.2%
Pennsylvania$18$405132+0.2%
Tennessee$18$715410+0.2%
Wisconsin$18$99475+0.2%
Alabama$18$723705+0.2%
Colorado$18$49385+0.2%
California$18$39131,932+0.1%
North Carolina$18$671112,640+0.1%
Texas$18$2985,152+0.1%
Arizona$18$6232,132+0.1%
Maryland$18$4252350.0%
Ohio$17$679614-0.3%
Utah$17$287198-0.7%
Virginia$17$526218-0.8%
Washington$17$436309-0.9%
Kentucky$17$4525116-1.4%
New York$17$445754-3.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber