Intrinsic factor (stomach protein) antibody measurement
Medicare pricing data for 269 providers across 34 states
This procedure has a 8.9x markup — hospitals charge $131.60 but Medicare allows only $14.75. Uninsured patients may face bills 8.9 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
Intrinsic factor (stomach protein) antibody measurement (HCPCS code 86340) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.75, but hospitals typically charge $131.60 — a 8.9x 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 $14.75, your out-of-pocket cost would be approximately $2.95. 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 8.9x more than what Medicare allows for this procedure. Medicare actually pays $14.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $15 | $143 | 3 | 373 | +0.2% |
| Hawaii | $15 | $76 | 2 | 56 | +0.2% |
| Indiana | $15 | $77 | 3 | 76 | +0.2% |
| Iowa | $15 | $48 | 6 | 19 | +0.2% |
| Kansas | $15 | $136 | 4 | 160 | +0.2% |
| Kentucky | $15 | $48 | 2 | 11 | +0.2% |
| Maine | $15 | $101 | 1 | 56 | +0.2% |
| Maryland | $15 | $125 | 6 | 275 | +0.2% |
| Nevada | $15 | $131 | 2 | 77 | +0.2% |
| New Hampshire | $15 | $66 | 6 | 16 | +0.2% |
| New Jersey | $15 | $158 | 11 | 2,210 | +0.2% |
| New Mexico | $15 | $98 | 1 | 53 | +0.2% |
| Ohio | $15 | $130 | 10 | 350 | +0.2% |
| Oklahoma | $15 | $108 | 3 | 49 | +0.2% |
| Oregon | $15 | $50 | 4 | 36 | +0.2% |
| Pennsylvania | $15 | $110 | 6 | 133 | +0.2% |
| Tennessee | $15 | $69 | 2 | 84 | +0.2% |
| Texas | $15 | $100 | 15 | 1,049 | +0.2% |
| Wisconsin | $15 | $129 | 5 | 76 | +0.2% |
| Alabama | $15 | $136 | 4 | 154 | +0.2% |
| Colorado | $15 | $139 | 5 | 95 | +0.2% |
| Florida | $15 | $148 | 12 | 1,234 | +0.1% |
| Illinois | $15 | $123 | 13 | 183 | +0.1% |
| California | $15 | $128 | 24 | 1,436 | +0.1% |
| Massachusetts | $15 | $130 | 5 | 377 | 0.0% |
| Minnesota | $15 | $205 | 3 | 430 | 0.0% |
| New York | $15 | $115 | 11 | 1,407 | 0.0% |
| North Carolina | $15 | $141 | 12 | 3,010 | 0.0% |
| Arizona | $15 | $126 | 4 | 701 | -0.1% |
| Puerto Rico | $15 | $17 | 38 | 59 | -0.3% |
| Utah | $15 | $32 | 4 | 161 | -0.9% |
| Virginia | $15 | $38 | 4 | 113 | -1.3% |
| Washington | $14 | $125 | 8 | 171 | -2.4% |
| Michigan | $14 | $46 | 7 | 122 | -5.5% |
⚠️ 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