Measurement of dna antibody, single stranded
Medicare pricing data for 359 providers across 29 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 of dna antibody, single stranded (HCPCS code 86226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.77, but hospitals typically charge $50.17 — a 4.3x 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 $11.77, your out-of-pocket cost would be approximately $2.35. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $11.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $12 | $52 | 6 | 456 | +0.8% |
| New York | $12 | $46 | 6 | 462 | +0.8% |
| Ohio | $12 | $18 | 6 | 87 | +0.8% |
| Tennessee | $12 | $20 | 4 | 22 | +0.8% |
| Washington | $12 | $25 | 6 | 170 | +0.8% |
| California | $12 | $42 | 17 | 2,318 | +0.8% |
| Virginia | $12 | $25 | 6 | 267 | +0.5% |
| Georgia | $12 | $113 | 26 | 917 | +0.4% |
| Oregon | $12 | $36 | 2 | 196 | +0.4% |
| South Carolina | $12 | $46 | 20 | 534 | +0.4% |
| Florida | $12 | $44 | 18 | 1,332 | +0.3% |
| Illinois | $12 | $121 | 18 | 1,486 | +0.3% |
| North Carolina | $12 | $40 | 44 | 872 | +0.2% |
| Pennsylvania | $12 | $39 | 18 | 367 | +0.2% |
| Iowa | $12 | $27 | 5 | 111 | 0.0% |
| Kansas | $12 | $55 | 8 | 203 | 0.0% |
| Maryland | $12 | $27 | 15 | 542 | 0.0% |
| New Mexico | $12 | $34 | 2 | 254 | 0.0% |
| Missouri | $12 | $42 | 2 | 698 | -0.1% |
| Minnesota | $12 | $40 | 13 | 256 | -0.2% |
| Idaho | $12 | $66 | 5 | 228 | -0.3% |
| Kentucky | $12 | $36 | 12 | 626 | -0.3% |
| Indiana | $12 | $42 | 34 | 242 | -0.6% |
| Texas | $12 | $31 | 21 | 3,528 | -0.6% |
| Louisiana | $12 | $83 | 12 | 48 | -0.9% |
| Alabama | $12 | $14 | 13 | 195 | -0.9% |
| Arkansas | $12 | $60 | 11 | 755 | -1.0% |
| Nebraska | $12 | $43 | 6 | 356 | -1.6% |
| Oklahoma | $11 | $69 | 2 | 55 | -2.8% |
⚠️ 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