Islet cell (pancreas) antibody measurement
Medicare pricing data for 226 providers across 34 states
This procedure has a 9.8x markup — hospitals charge $225.06 but Medicare allows only $23.04. Uninsured patients may face bills 9.8 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
Islet cell (pancreas) antibody measurement (HCPCS code 86341) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.04, but hospitals typically charge $225.06 — a 9.8x 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 $23.04, your out-of-pocket cost would be approximately $4.61. 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 9.8x more than what Medicare allows for this procedure. Medicare actually pays $23.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $23 | $251 | 2 | 1,328 | +0.3% |
| Illinois | $23 | $279 | 6 | 700 | +0.3% |
| Indiana | $23 | $189 | 4 | 81 | +0.3% |
| Kentucky | $23 | $79 | 1 | 42 | +0.3% |
| Maine | $23 | $254 | 2 | 33 | +0.3% |
| Maryland | $23 | $252 | 4 | 359 | +0.3% |
| New Mexico | $23 | $107 | 1 | 37 | +0.3% |
| Pennsylvania | $23 | $267 | 6 | 319 | +0.3% |
| Rhode Island | $23 | $52 | 1 | 16 | +0.3% |
| Tennessee | $23 | $196 | 4 | 112 | +0.3% |
| Utah | $23 | $73 | 7 | 226 | +0.3% |
| Puerto Rico | $23 | $24 | 9 | 19 | +0.3% |
| Alabama | $23 | $208 | 3 | 997 | +0.3% |
| Colorado | $23 | $237 | 3 | 315 | +0.3% |
| New Jersey | $23 | $240 | 8 | 4,142 | +0.2% |
| New York | $23 | $144 | 10 | 2,029 | +0.2% |
| Texas | $23 | $227 | 15 | 2,720 | +0.2% |
| Florida | $23 | $280 | 8 | 3,633 | +0.1% |
| Ohio | $23 | $185 | 10 | 896 | +0.1% |
| California | $23 | $220 | 22 | 4,929 | +0.1% |
| Kansas | $23 | $242 | 5 | 1,264 | +0.1% |
| North Carolina | $23 | $205 | 10 | 4,981 | -0.0% |
| Oklahoma | $23 | $218 | 4 | 179 | -0.1% |
| Arizona | $23 | $200 | 4 | 1,041 | -0.3% |
| Iowa | $23 | $184 | 3 | 107 | -0.5% |
| Nevada | $23 | $269 | 2 | 409 | -0.5% |
| Hawaii | $23 | $184 | 2 | 95 | -0.6% |
| Massachusetts | $23 | $286 | 6 | 1,556 | -0.6% |
| Virginia | $23 | $103 | 5 | 396 | -0.7% |
| Washington | $23 | $192 | 6 | 560 | -0.7% |
| Minnesota | $23 | $266 | 9 | 1,347 | -0.8% |
| Oregon | $23 | $74 | 4 | 72 | -0.9% |
| Wisconsin | $23 | $154 | 5 | 360 | -1.4% |
| Michigan | $22 | $69 | 7 | 37 | -3.0% |
⚠️ 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