White blood cell antigen measurement
Medicare pricing data for 117 providers across 22 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
White blood cell antigen measurement (HCPCS code 86356) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.19, but hospitals typically charge $123.78 — a 4.7x 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 $26.19, your out-of-pocket cost would be approximately $5.24. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $26.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $26 | $155 | 5 | 1,060 | +0.2% |
| Georgia | $26 | $155 | 1 | 72 | +0.2% |
| Illinois | $26 | $167 | 2 | 106 | +0.2% |
| Kansas | $26 | $198 | 3 | 152 | +0.2% |
| Maryland | $26 | $221 | 2 | 205 | +0.2% |
| Massachusetts | $26 | $210 | 4 | 78 | +0.2% |
| North Carolina | $26 | $88 | 6 | 907 | +0.2% |
| Ohio | $26 | $166 | 5 | 271 | +0.2% |
| Oklahoma | $26 | $119 | 3 | 84 | +0.2% |
| Tennessee | $26 | $42 | 5 | 22 | +0.2% |
| Texas | $26 | $87 | 7 | 589 | +0.2% |
| Virginia | $26 | $72 | 2 | 55 | +0.2% |
| Wisconsin | $26 | $211 | 2 | 17 | +0.2% |
| Alabama | $26 | $123 | 3 | 509 | +0.2% |
| Colorado | $26 | $131 | 5 | 141 | +0.2% |
| Minnesota | $26 | $144 | 4 | 954 | +0.2% |
| Arizona | $26 | $85 | 3 | 1,365 | +0.2% |
| New Jersey | $26 | $113 | 4 | 1,866 | +0.1% |
| Washington | $26 | $76 | 4 | 291 | +0.1% |
| New York | $26 | $189 | 4 | 164 | -0.4% |
| California | $26 | $169 | 13 | 792 | -1.0% |
| Utah | $26 | $76 | 5 | 83 | -1.9% |
⚠️ 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