T cells count, total
Medicare pricing data for 269 providers across 35 states
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
T cells count, total (HCPCS code 86359) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.86, but hospitals typically charge $151.80 — a 4.1x 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 $36.86, your out-of-pocket cost would be approximately $7.37. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $36.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kansas | $37 | $180 | 4 | 614 | +0.3% |
| Maine | $37 | $56 | 3 | 89 | +0.3% |
| Maryland | $37 | $134 | 6 | 331 | +0.3% |
| Massachusetts | $37 | $139 | 5 | 920 | +0.3% |
| New Mexico | $37 | $97 | 1 | 53 | +0.3% |
| North Dakota | $37 | $165 | 4 | 33 | +0.3% |
| South Dakota | $37 | $220 | 1 | 24 | +0.3% |
| Utah | $37 | $81 | 5 | 192 | +0.3% |
| Wisconsin | $37 | $193 | 5 | 181 | +0.3% |
| Wyoming | $37 | $65 | 1 | 38 | +0.3% |
| Puerto Rico | $37 | $40 | 6 | 15 | +0.3% |
| Alabama | $37 | $183 | 4 | 392 | +0.3% |
| New Jersey | $37 | $128 | 10 | 8,585 | +0.3% |
| Ohio | $37 | $141 | 9 | 553 | +0.3% |
| Florida | $37 | $170 | 11 | 6,305 | +0.3% |
| Colorado | $37 | $180 | 5 | 416 | +0.3% |
| Texas | $37 | $146 | 19 | 1,629 | +0.2% |
| New York | $37 | $212 | 8 | 1,941 | +0.1% |
| North Carolina | $37 | $164 | 8 | 2,227 | +0.1% |
| Tennessee | $37 | $90 | 12 | 282 | +0.1% |
| Hawaii | $37 | $100 | 2 | 261 | +0.1% |
| Illinois | $37 | $162 | 5 | 414 | +0.1% |
| Arizona | $37 | $131 | 3 | 972 | 0.0% |
| Nevada | $37 | $137 | 2 | 206 | -0.0% |
| Pennsylvania | $37 | $147 | 6 | 492 | -0.0% |
| Georgia | $37 | $182 | 1 | 50 | -0.1% |
| Oklahoma | $37 | $179 | 4 | 408 | -0.5% |
| California | $37 | $150 | 29 | 6,882 | -0.5% |
| Indiana | $37 | $140 | 2 | 174 | -0.7% |
| Minnesota | $37 | $185 | 47 | 1,301 | -0.9% |
| Oregon | $36 | $87 | 4 | 164 | -1.2% |
| Michigan | $36 | $62 | 4 | 65 | -1.7% |
| Virginia | $36 | $110 | 5 | 112 | -2.0% |
| Washington | $36 | $155 | 7 | 159 | -2.4% |
| Iowa | $35 | $110 | 1 | 23 | -4.3% |
⚠️ 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