Screening test for antineutrophil cytoplasmic antibody
Medicare pricing data for 362 providers across 37 states
This procedure has a 11.3x markup — hospitals charge $133.35 but Medicare allows only $11.80. Uninsured patients may face bills 11.3 times higher than what insurance negotiates. 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
Screening test for antineutrophil cytoplasmic antibody (HCPCS code 86036) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.80, but hospitals typically charge $133.35 — a 11.3x 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 $11.80, your out-of-pocket cost would be approximately $2.36. 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 11.3x more than what Medicare allows for this procedure. Medicare actually pays $11.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $12 | $148 | 1 | 2,604 | +0.1% |
| Idaho | $12 | $39 | 2 | 24 | +0.1% |
| Illinois | $12 | $147 | 3 | 1,480 | +0.1% |
| Kansas | $12 | $144 | 4 | 1,512 | +0.1% |
| Kentucky | $12 | $29 | 10 | 76 | +0.1% |
| Maryland | $12 | $139 | 3 | 583 | +0.1% |
| Massachusetts | $12 | $147 | 3 | 1,424 | +0.1% |
| New Jersey | $12 | $188 | 7 | 6,856 | +0.1% |
| New Mexico | $12 | $145 | 2 | 335 | +0.1% |
| New York | $12 | $139 | 8 | 471 | +0.1% |
| Pennsylvania | $12 | $121 | 5 | 1,021 | +0.1% |
| South Carolina | $12 | $53 | 3 | 76 | +0.1% |
| Tennessee | $12 | $97 | 2 | 1,209 | +0.1% |
| Texas | $12 | $120 | 20 | 6,688 | +0.1% |
| Utah | $12 | $32 | 17 | 765 | +0.1% |
| Alabama | $12 | $106 | 2 | 356 | +0.1% |
| Colorado | $12 | $135 | 5 | 407 | +0.1% |
| Connecticut | $12 | $36 | 1 | 52 | +0.1% |
| Florida | $12 | $148 | 8 | 5,439 | 0.0% |
| North Carolina | $12 | $108 | 18 | 2,792 | 0.0% |
| California | $12 | $117 | 22 | 11,283 | 0.0% |
| Nevada | $12 | $148 | 1 | 776 | -0.1% |
| Virginia | $12 | $43 | 6 | 443 | -0.1% |
| Mississippi | $12 | $91 | 5 | 153 | -0.2% |
| Arizona | $12 | $191 | 4 | 1,992 | -0.2% |
| Minnesota | $12 | $148 | 136 | 1,601 | -0.3% |
| Ohio | $12 | $80 | 8 | 948 | -0.3% |
| Oklahoma | $12 | $138 | 5 | 1,318 | -0.3% |
| Hawaii | $12 | $117 | 2 | 778 | -0.3% |
| Indiana | $12 | $74 | 4 | 155 | -0.4% |
| Washington | $12 | $130 | 5 | 1,109 | -0.5% |
| Iowa | $12 | $32 | 4 | 428 | -0.7% |
| Maine | $12 | $131 | 2 | 186 | -0.8% |
| South Dakota | $12 | $64 | 4 | 198 | -0.8% |
| Oregon | $12 | $72 | 2 | 12 | -1.0% |
| Wisconsin | $12 | $73 | 7 | 232 | -1.1% |
| North Dakota | $11 | $53 | 5 | 26 | -9.7% |
⚠️ 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