Measurement of complement (immune system proteins), total hemolytic
Medicare pricing data for 214 providers across 33 states
This procedure has a 6.5x markup — hospitals charge $127.88 but Medicare allows only $19.82. 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 of complement (immune system proteins), total hemolytic (HCPCS code 86162) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.82, but hospitals typically charge $127.88 — 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 $19.82, your out-of-pocket cost would be approximately $3.96. 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 $19.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $20 | $125 | 2 | 587 | +0.5% |
| Hawaii | $20 | $97 | 2 | 274 | +0.5% |
| Idaho | $20 | $50 | 1 | 17 | +0.5% |
| Illinois | $20 | $125 | 6 | 629 | +0.5% |
| Indiana | $20 | $93 | 2 | 32 | +0.5% |
| Iowa | $20 | $36 | 3 | 11 | +0.5% |
| Kansas | $20 | $98 | 4 | 1,212 | +0.5% |
| Michigan | $20 | $93 | 6 | 44 | +0.5% |
| Nevada | $20 | $124 | 2 | 390 | +0.5% |
| New Mexico | $20 | $67 | 3 | 17 | +0.5% |
| Oklahoma | $20 | $119 | 3 | 249 | +0.5% |
| Pennsylvania | $20 | $122 | 7 | 218 | +0.5% |
| Rhode Island | $20 | $77 | 1 | 16 | +0.5% |
| South Carolina | $20 | $41 | 3 | 27 | +0.5% |
| Tennessee | $20 | $129 | 2 | 134 | +0.5% |
| Utah | $20 | $42 | 3 | 87 | +0.5% |
| Wisconsin | $20 | $189 | 4 | 48 | +0.5% |
| Alabama | $20 | $127 | 4 | 579 | +0.5% |
| Colorado | $20 | $148 | 4 | 75 | +0.5% |
| Texas | $20 | $136 | 14 | 1,785 | +0.4% |
| Florida | $20 | $132 | 11 | 3,994 | +0.4% |
| Massachusetts | $20 | $126 | 4 | 613 | +0.4% |
| New Jersey | $20 | $126 | 20 | 3,698 | +0.3% |
| North Carolina | $20 | $130 | 9 | 1,983 | +0.3% |
| Arizona | $20 | $153 | 4 | 938 | +0.2% |
| Minnesota | $20 | $218 | 5 | 574 | +0.1% |
| Maryland | $20 | $108 | 6 | 185 | -0.1% |
| Ohio | $20 | $110 | 12 | 698 | -0.2% |
| Washington | $20 | $135 | 7 | 314 | -0.5% |
| California | $20 | $127 | 17 | 2,953 | -0.7% |
| Virginia | $19 | $32 | 4 | 210 | -1.9% |
| Oregon | $19 | $54 | 2 | 28 | -2.5% |
| New York | $19 | $130 | 10 | 675 | -4.1% |
⚠️ 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