Immune complex measurement
Medicare pricing data for 96 providers across 19 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Immune complex measurement (HCPCS code 86332) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.78, but hospitals typically charge $84.85 — a 3.6x 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 $23.78, your out-of-pocket cost would be approximately $4.76. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $23.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $24 | $227 | 5 | 175 | +0.4% |
| Georgia | $24 | $54 | 4 | 692 | +0.4% |
| Illinois | $24 | $188 | 1 | 24 | +0.4% |
| Kansas | $24 | $181 | 2 | 14 | +0.4% |
| Maryland | $24 | $190 | 1 | 64 | +0.4% |
| Massachusetts | $24 | $184 | 3 | 88 | +0.4% |
| New York | $24 | $63 | 10 | 1,292 | +0.4% |
| North Carolina | $24 | $189 | 2 | 192 | +0.4% |
| Ohio | $24 | $65 | 4 | 760 | +0.4% |
| Pennsylvania | $24 | $157 | 3 | 20 | +0.4% |
| Utah | $24 | $49 | 1 | 19 | +0.4% |
| Washington | $24 | $158 | 3 | 19 | +0.4% |
| Arizona | $24 | $169 | 2 | 25 | +0.4% |
| Colorado | $24 | $190 | 2 | 12 | +0.4% |
| Oregon | $24 | $83 | 3 | 16 | +0.3% |
| New Jersey | $24 | $200 | 3 | 135 | +0.2% |
| Texas | $24 | $66 | 7 | 782 | -0.1% |
| California | $24 | $81 | 16 | 1,726 | -0.8% |
| Puerto Rico | $24 | $25 | 7 | 26 | -0.8% |
⚠️ 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