Measurement for strep antibody (strep throat)
Medicare pricing data for 283 providers across 34 states
This procedure has a 6.5x markup — hospitals charge $46.26 but Medicare allows only $7.14. Uninsured patients may face bills 6.5 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
Measurement for strep antibody (strep throat) (HCPCS code 86060) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.14, but hospitals typically charge $46.26 — a 6.5x 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 $7.14, your out-of-pocket cost would be approximately $1.43. 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 6.5x more than what Medicare allows for this procedure. Medicare actually pays $7.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $7 | $35 | 12 | 1,863 | +0.1% |
| Georgia | $7 | $58 | 2 | 438 | +0.1% |
| Hawaii | $7 | $25 | 2 | 142 | +0.1% |
| Idaho | $7 | $45 | 2 | 14 | +0.1% |
| Illinois | $7 | $48 | 24 | 2,410 | +0.1% |
| Indiana | $7 | $29 | 2 | 12 | +0.1% |
| Iowa | $7 | $38 | 4 | 16 | +0.1% |
| Kansas | $7 | $58 | 5 | 546 | +0.1% |
| Louisiana | $7 | $61 | 1 | 73 | +0.1% |
| Maryland | $7 | $64 | 6 | 76 | +0.1% |
| Massachusetts | $7 | $60 | 2 | 148 | +0.1% |
| Michigan | $7 | $49 | 4 | 11 | +0.1% |
| Minnesota | $7 | $80 | 3 | 29 | +0.1% |
| Mississippi | $7 | $99 | 5 | 32 | +0.1% |
| Nevada | $7 | $63 | 2 | 31 | +0.1% |
| New Jersey | $7 | $40 | 21 | 5,946 | +0.1% |
| New Mexico | $7 | $39 | 1 | 73 | +0.1% |
| New York | $7 | $50 | 23 | 2,709 | +0.1% |
| Pennsylvania | $7 | $27 | 7 | 320 | +0.1% |
| South Carolina | $7 | $15 | 4 | 29 | +0.1% |
| Virginia | $7 | $22 | 5 | 103 | +0.1% |
| Washington | $7 | $62 | 6 | 148 | +0.1% |
| Arizona | $7 | $58 | 5 | 556 | +0.1% |
| Colorado | $7 | $61 | 2 | 146 | +0.1% |
| Texas | $7 | $85 | 17 | 2,194 | 0.0% |
| California | $7 | $35 | 33 | 6,304 | 0.0% |
| North Carolina | $7 | $52 | 8 | 1,688 | -0.1% |
| Ohio | $7 | $48 | 11 | 1,139 | -0.1% |
| Alabama | $7 | $54 | 5 | 792 | -0.3% |
| Tennessee | $7 | $48 | 4 | 98 | -0.7% |
| Oklahoma | $7 | $55 | 4 | 224 | -1.0% |
| Oregon | $7 | $37 | 3 | 206 | -1.0% |
| Arkansas | $7 | $18 | 15 | 91 | -1.7% |
| Wisconsin | $6 | $65 | 8 | 33 | -10.8% |
⚠️ 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