Phospholipid antibody (autoimmune antibody) measurement
Medicare pricing data for 98 providers across 16 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
Phospholipid antibody (autoimmune antibody) measurement (HCPCS code 86148) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.66, but hospitals typically charge $77.57 — a 5.0x 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 $15.66, your out-of-pocket cost would be approximately $3.13. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $15.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $16 | $122 | 2 | 102 | +0.6% |
| Idaho | $16 | $99 | 6 | 107 | +0.6% |
| Minnesota | $16 | $138 | 2 | 156 | +0.6% |
| New York | $16 | $123 | 6 | 905 | +0.6% |
| Tennessee | $16 | $104 | 2 | 56 | +0.6% |
| Washington | $16 | $126 | 2 | 73 | +0.6% |
| Alabama | $16 | $113 | 2 | 199 | +0.6% |
| Colorado | $16 | $118 | 3 | 376 | +0.6% |
| North Carolina | $16 | $131 | 8 | 2,783 | +0.5% |
| California | $16 | $50 | 13 | 12,039 | +0.3% |
| Ohio | $16 | $105 | 4 | 428 | -0.1% |
| Arizona | $16 | $72 | 3 | 1,742 | -0.2% |
| New Jersey | $16 | $109 | 6 | 2,768 | -1.0% |
| Hawaii | $15 | $154 | 2 | 66 | -2.0% |
| Texas | $15 | $86 | 6 | 349 | -2.4% |
| Virginia | $14 | $28 | 2 | 37 | -10.3% |
⚠️ 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