86147

Cardiolipin antibody (tissue antibody) measurement

Medicare pricing data for 794 providers across 44 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

Cardiolipin antibody (tissue antibody) measurement (HCPCS code 86147) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.88, but hospitals typically charge $105.35 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.88, your out-of-pocket cost would be approximately $4.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.88
Average Hospital Charge
$105.35
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$105.35
Medicare Allowed$24.88
Medicare Payment$24.88

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $24.88 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$25$83454+0.2%
Idaho$25$608142+0.2%
Nebraska$25$441166+0.2%
Nevada$25$10011,302+0.2%
New Hampshire$25$87639+0.2%
New Mexico$25$814624+0.2%
Rhode Island$25$50158+0.2%
South Carolina$25$833167+0.2%
Tennessee$25$1177739+0.2%
Utah$25$506203+0.2%
Connecticut$25$172381+0.2%
Kansas$25$11151,968+0.2%
Massachusetts$25$98412,322+0.2%
Michigan$25$467347+0.2%
Alabama$25$149103,588+0.2%
Colorado$25$14772,882+0.2%
Georgia$25$10034,448+0.2%
New Jersey$25$1164234,321+0.2%
New York$25$1208214,508+0.2%
Puerto Rico$25$2724184+0.2%
Florida$25$1034519,248+0.1%
North Carolina$25$1412323,554+0.1%
California$25$815864,839+0.1%
Arizona$25$120413,172-0.1%
Washington$25$14962,403-0.1%
Illinois$25$102522,879-0.2%
Texas$25$966118,676-0.2%
Maryland$25$76373,484-0.2%
Missouri$25$2097162-0.3%
Indiana$25$9413309-0.3%
Kentucky$25$8212271-0.3%
Pennsylvania$25$93212,854-0.4%
Oklahoma$25$99241,241-0.4%
Oregon$25$775110-0.4%
Iowa$25$8410385-0.4%
Minnesota$25$154771,910-0.6%
Virginia$25$787630-0.8%
Hawaii$25$782546-0.9%
Ohio$25$104165,092-0.9%
Wisconsin$25$143141,175-1.2%
Louisiana$25$6116366-1.2%
Maine$24$272139-1.6%
South Dakota$24$1094105-2.5%
Mississippi$21$63530-17.6%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber