Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
Medicare pricing data for 3,034 providers across 47 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
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity (HCPCS code 86141) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.67, but hospitals typically charge $61.86 — a 4.9x 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 $12.67, your out-of-pocket cost would be approximately $2.53. 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 4.9x more than what Medicare allows for this procedure. Medicare actually pays $12.67 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $13 | $26 | 2 | 298 | +0.2% |
| Idaho | $13 | $59 | 9 | 176 | +0.2% |
| Kentucky | $13 | $30 | 21 | 302 | +0.2% |
| Maine | $13 | $60 | 12 | 132 | +0.2% |
| Missouri | $13 | $121 | 47 | 1,395 | +0.2% |
| New Hampshire | $13 | $56 | 7 | 29 | +0.2% |
| North Dakota | $13 | $34 | 4 | 1,476 | +0.2% |
| Rhode Island | $13 | $39 | 6 | 585 | +0.2% |
| South Dakota | $13 | $67 | 4 | 62 | +0.2% |
| West Virginia | $13 | $35 | 5 | 245 | +0.2% |
| Wyoming | $13 | $80 | 3 | 14 | +0.2% |
| Colorado | $13 | $67 | 19 | 1,347 | +0.2% |
| Connecticut | $13 | $50 | 24 | 100 | +0.2% |
| Illinois | $13 | $54 | 107 | 18,399 | +0.1% |
| Massachusetts | $13 | $36 | 164 | 33,780 | +0.1% |
| Nevada | $13 | $68 | 11 | 5,590 | +0.1% |
| North Carolina | $13 | $71 | 80 | 20,614 | +0.1% |
| Texas | $13 | $60 | 94 | 14,475 | +0.1% |
| California | $13 | $57 | 335 | 119,741 | +0.1% |
| New Jersey | $13 | $79 | 80 | 30,753 | 0.0% |
| New Mexico | $13 | $98 | 3 | 218 | 0.0% |
| New York | $13 | $79 | 589 | 51,791 | 0.0% |
| Oklahoma | $13 | $54 | 15 | 1,001 | 0.0% |
| Washington | $13 | $61 | 85 | 5,361 | 0.0% |
| Georgia | $13 | $66 | 19 | 6,153 | -0.1% |
| Indiana | $13 | $55 | 52 | 1,950 | -0.1% |
| Arizona | $13 | $57 | 87 | 26,118 | -0.1% |
| Florida | $13 | $64 | 142 | 53,412 | -0.2% |
| Hawaii | $13 | $40 | 2 | 2,181 | -0.2% |
| Kansas | $13 | $67 | 27 | 7,231 | -0.2% |
| Maryland | $13 | $66 | 17 | 3,090 | -0.2% |
| Virginia | $13 | $54 | 48 | 1,478 | -0.2% |
| Puerto Rico | $13 | $14 | 169 | 1,041 | -0.2% |
| Alabama | $13 | $60 | 30 | 3,986 | -0.2% |
| Iowa | $13 | $52 | 9 | 462 | -0.2% |
| Michigan | $13 | $33 | 65 | 3,376 | -0.2% |
| Minnesota | $13 | $79 | 151 | 1,754 | -0.2% |
| Louisiana | $13 | $64 | 29 | 309 | -0.3% |
| Ohio | $13 | $85 | 81 | 25,812 | -0.3% |
| Tennessee | $13 | $56 | 73 | 1,760 | -0.3% |
| Pennsylvania | $13 | $28 | 22 | 3,123 | -0.4% |
| Utah | $13 | $28 | 124 | 2,820 | -0.5% |
| Wisconsin | $13 | $89 | 19 | 864 | -0.6% |
| Oregon | $13 | $46 | 56 | 2,118 | -0.8% |
| South Carolina | $13 | $27 | 29 | 2,712 | -0.9% |
| Arkansas | $13 | $23 | 16 | 240 | -0.9% |
| Nebraska | $13 | $46 | 16 | 3,489 | -1.2% |
⚠️ 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