Antineutrophil cytoplasmic antibody titer
Medicare pricing data for 204 providers across 31 states
This procedure has a 9.0x markup — hospitals charge $105.67 but Medicare allows only $11.78. Uninsured patients may face bills 9.0 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
Antineutrophil cytoplasmic antibody titer (HCPCS code 86037) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.78, but hospitals typically charge $105.67 — a 9.0x 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 $11.78, 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 9.0x more than what Medicare allows for this procedure. Medicare actually pays $11.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $12 | $117 | 6 | 2,894 | +0.3% |
| Georgia | $12 | $141 | 3 | 262 | +0.3% |
| Hawaii | $12 | $125 | 1 | 39 | +0.3% |
| Indiana | $12 | $86 | 2 | 123 | +0.3% |
| Kansas | $12 | $84 | 3 | 932 | +0.3% |
| Louisiana | $12 | $95 | 1 | 57 | +0.3% |
| Massachusetts | $12 | $147 | 2 | 281 | +0.3% |
| Michigan | $12 | $87 | 1 | 143 | +0.3% |
| Missouri | $12 | $24 | 3 | 52 | +0.3% |
| Nevada | $12 | $147 | 1 | 219 | +0.3% |
| New Jersey | $12 | $104 | 9 | 15,594 | +0.3% |
| New Mexico | $12 | $110 | 1 | 54 | +0.3% |
| New York | $12 | $44 | 6 | 329 | +0.3% |
| Oklahoma | $12 | $140 | 2 | 79 | +0.3% |
| Oregon | $12 | $109 | 2 | 72 | +0.3% |
| Pennsylvania | $12 | $104 | 4 | 71 | +0.3% |
| South Dakota | $12 | $63 | 1 | 14 | +0.3% |
| Tennessee | $12 | $97 | 2 | 589 | +0.3% |
| Texas | $12 | $109 | 8 | 5,478 | +0.3% |
| Washington | $12 | $97 | 4 | 1,375 | +0.3% |
| Alabama | $12 | $105 | 2 | 4,890 | +0.3% |
| Arizona | $12 | $117 | 3 | 2,919 | +0.3% |
| Colorado | $12 | $112 | 4 | 1,221 | +0.3% |
| North Carolina | $12 | $110 | 12 | 35,656 | +0.2% |
| Ohio | $12 | $105 | 6 | 6,388 | +0.2% |
| California | $12 | $92 | 18 | 8,864 | +0.2% |
| Wisconsin | $12 | $57 | 6 | 42 | -0.5% |
| Minnesota | $12 | $43 | 67 | 152 | -0.8% |
| Illinois | $12 | $129 | 7 | 155 | -1.7% |
| Maryland | $11 | $143 | 3 | 77 | -3.7% |
| Virginia | $7 | $14 | 2 | 545 | -39.6% |
⚠️ 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