Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3
Medicare pricing data for 2,356 providers across 46 states
This procedure has a 5.8x markup — hospitals charge $117.80 but Medicare allows only $20.19. Uninsured patients may face bills 5.8 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
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 (HCPCS code 86300) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.19, but hospitals typically charge $117.80 — a 5.8x 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 $20.19, your out-of-pocket cost would be approximately $4.04. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $20.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $20 | $124 | 1 | 112 | +1.0% |
| Iowa | $20 | $63 | 23 | 523 | +1.0% |
| Kentucky | $20 | $74 | 3 | 89 | +1.0% |
| Rhode Island | $20 | $56 | 2 | 46 | +1.0% |
| South Dakota | $20 | $112 | 3 | 231 | +1.0% |
| Wyoming | $20 | $171 | 7 | 390 | +1.0% |
| Connecticut | $20 | $67 | 7 | 231 | +1.0% |
| Kansas | $20 | $151 | 16 | 7,510 | +0.9% |
| Massachusetts | $20 | $155 | 13 | 2,028 | +0.9% |
| New Jersey | $20 | $135 | 24 | 31,944 | +0.9% |
| New Mexico | $20 | $69 | 9 | 1,323 | +0.9% |
| Oklahoma | $20 | $97 | 13 | 877 | +0.9% |
| Florida | $20 | $101 | 86 | 55,808 | +0.8% |
| Georgia | $20 | $140 | 37 | 3,969 | +0.8% |
| Maryland | $20 | $120 | 52 | 5,215 | +0.8% |
| New York | $20 | $139 | 222 | 20,947 | +0.8% |
| Puerto Rico | $20 | $23 | 164 | 1,001 | +0.8% |
| Nebraska | $20 | $61 | 22 | 1,336 | +0.7% |
| North Carolina | $20 | $140 | 37 | 10,600 | +0.7% |
| Pennsylvania | $20 | $124 | 29 | 6,581 | +0.7% |
| Texas | $20 | $114 | 356 | 39,730 | +0.7% |
| Arizona | $20 | $126 | 18 | 14,323 | +0.7% |
| Illinois | $20 | $145 | 111 | 6,562 | +0.6% |
| Nevada | $20 | $133 | 40 | 6,546 | +0.6% |
| Ohio | $20 | $124 | 44 | 7,153 | +0.6% |
| Indiana | $20 | $137 | 21 | 1,177 | +0.6% |
| Maine | $20 | $44 | 22 | 886 | +0.6% |
| Minnesota | $20 | $174 | 118 | 3,037 | +0.6% |
| West Virginia | $20 | $53 | 12 | 164 | +0.6% |
| Colorado | $20 | $128 | 49 | 5,978 | +0.6% |
| Hawaii | $20 | $104 | 2 | 1,259 | +0.5% |
| Utah | $20 | $57 | 36 | 1,266 | +0.5% |
| Louisiana | $20 | $121 | 7 | 178 | +0.4% |
| Tennessee | $20 | $57 | 132 | 7,650 | +0.4% |
| Wisconsin | $20 | $123 | 13 | 2,064 | +0.4% |
| Oregon | $20 | $104 | 41 | 1,578 | +0.4% |
| South Carolina | $20 | $114 | 52 | 4,906 | +0.4% |
| Virginia | $20 | $120 | 106 | 7,622 | +0.4% |
| Washington | $20 | $115 | 53 | 5,473 | +0.3% |
| Alabama | $20 | $102 | 67 | 6,535 | +0.3% |
| Arkansas | $20 | $65 | 53 | 7,663 | +0.3% |
| Missouri | $20 | $305 | 15 | 416 | +0.2% |
| Michigan | $20 | $64 | 28 | 709 | +0.1% |
| North Dakota | $20 | $111 | 12 | 433 | +0.1% |
| Mississippi | $20 | $117 | 26 | 4,290 | -1.3% |
| California | $20 | $120 | 143 | 56,603 | -3.3% |
⚠️ 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