Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative
Medicare pricing data for 701 providers across 31 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
Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative (HCPCS code 86328) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $44.34, but hospitals typically charge $65.97 — a 1.5x 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 $44.34, your out-of-pocket cost would be approximately $8.87. 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 1.5x more than what Medicare allows for this procedure. Medicare actually pays $44.34 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $44 | $85 | 16 | 150 | +0.1% |
| Illinois | $44 | $70 | 24 | 143,456 | +0.1% |
| Indiana | $44 | $68 | 6 | 14 | +0.1% |
| Montana | $44 | $50 | 10 | 36 | +0.1% |
| North Carolina | $44 | $50 | 20 | 59,359 | +0.1% |
| Ohio | $44 | $54 | 9 | 240 | +0.1% |
| Pennsylvania | $44 | $76 | 9 | 53 | +0.1% |
| Texas | $44 | $115 | 79 | 829 | +0.1% |
| Arizona | $44 | $119 | 17 | 50 | +0.1% |
| Arkansas | $44 | $66 | 4 | 397 | +0.1% |
| California | $44 | $106 | 59 | 2,696 | +0.0% |
| New Jersey | $44 | $112 | 34 | 1,803 | -0.1% |
| Virginia | $44 | $56 | 11 | 87 | -0.7% |
| New York | $44 | $99 | 25 | 2,590 | -1.1% |
| Michigan | $44 | $64 | 21 | 784 | -1.4% |
| Louisiana | $44 | $98 | 15 | 347 | -1.4% |
| Oklahoma | $44 | $77 | 16 | 236 | -1.6% |
| Georgia | $44 | $77 | 32 | 69 | -1.7% |
| New Mexico | $43 | $65 | 8 | 49 | -2.0% |
| Mississippi | $43 | $57 | 16 | 69 | -2.0% |
| Alabama | $43 | $68 | 45 | 262 | -2.1% |
| Tennessee | $43 | $78 | 23 | 83 | -2.1% |
| Florida | $43 | $93 | 85 | 1,119 | -2.2% |
| Kentucky | $43 | $63 | 5 | 14 | -2.4% |
| Wyoming | $43 | $52 | 24 | 164 | -3.2% |
| Colorado | $43 | $48 | 10 | 122 | -3.7% |
| South Carolina | $42 | $94 | 12 | 82 | -4.7% |
| West Virginia | $42 | $78 | 5 | 14 | -5.5% |
| Missouri | $40 | $70 | 5 | 27 | -9.0% |
| Maryland | $40 | $73 | 11 | 29 | -10.4% |
| Puerto Rico | $25 | $27 | 9 | 32 | -43.1% |
⚠️ 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