86357

Total cell count for natural killer cells (white blood cell)

Medicare pricing data for 196 providers across 30 states

🤖AI Overview

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

Total cell count for natural killer cells (white blood cell) (HCPCS code 86357) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.92, but hospitals typically charge $128.43 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $36.92, your out-of-pocket cost would be approximately $7.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$36.92
Average Hospital Charge
$128.43
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$128.43
Medicare Allowed$36.92
Medicare Payment$36.92

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $36.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$37$98229+0.2%
Kansas$37$1344307+0.2%
Maine$37$74216+0.2%
Maryland$37$1194176+0.2%
Massachusetts$37$1362602+0.2%
New Mexico$37$85144+0.2%
North Dakota$37$164433+0.2%
Oklahoma$37$111475+0.2%
Pennsylvania$37$1195218+0.2%
Utah$37$99531+0.2%
Wisconsin$37$250583+0.2%
Alabama$37$145271+0.2%
Florida$37$135102,177+0.1%
New Jersey$37$10085,435+0.1%
Ohio$37$1479268+0.1%
North Carolina$37$12551,206+0.1%
Colorado$37$1795264+0.1%
New York$37$25371,000+0.1%
Texas$37$11915949+0.1%
California$37$119152,789-0.1%
Arizona$37$1183386-0.1%
Nevada$37$1151137-0.4%
Minnesota$37$20028612-0.4%
Illinois$37$1212165-0.4%
Tennessee$37$791176-0.6%
Georgia$37$155123-0.7%
Virginia$36$1154103-1.5%
Washington$36$1126254-1.5%
Indiana$36$170212-2.4%
Iowa$35$114122-3.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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