Immunologic analysis technique on serum
Medicare pricing data for 165 providers across 18 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
Immunologic analysis technique on serum (HCPCS code 86320) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.71, but hospitals typically charge $98.65 — 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 $22.71, your out-of-pocket cost would be approximately $4.54. 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 $20.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Oregon | $29 | $108 | 1 | 23 | +29.1% |
| Puerto Rico | $29 | $30 | 28 | 255 | +29.1% |
| Arizona | $29 | $156 | 1 | 11,568 | +28.7% |
| Texas | $29 | $108 | 70 | 2,154 | +28.6% |
| Ohio | $23 | $58 | 9 | 2,759 | -0.1% |
| New York | $22 | $93 | 2 | 4,547 | -2.2% |
| California | $21 | $57 | 2 | 53 | -8.3% |
| Colorado | $20 | $60 | 5 | 191 | -12.2% |
| Connecticut | $19 | $68 | 4 | 537 | -15.2% |
| Massachusetts | $19 | $103 | 5 | 8,133 | -17.2% |
| Illinois | $18 | $47 | 3 | 107 | -21.1% |
| Florida | $17 | $45 | 5 | 1,141 | -24.0% |
| Virginia | $17 | $60 | 2 | 31 | -24.0% |
| Michigan | $17 | $50 | 6 | 1,267 | -25.3% |
| Tennessee | $17 | $40 | 8 | 4,568 | -25.8% |
| North Carolina | $17 | $40 | 1 | 2,266 | -25.8% |
| Missouri | $17 | $69 | 4 | 81 | -26.0% |
| Alabama | $15 | $46 | 1 | 12 | -32.1% |
⚠️ 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