T cell count and ratio, including ratio
Medicare pricing data for 328 providers across 39 states
This procedure has a 5.4x markup — hospitals charge $246.28 but Medicare allows only $45.90. Uninsured patients may face bills 5.4 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
T cell count and ratio, including ratio (HCPCS code 86360) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $45.90, but hospitals typically charge $246.28 — a 5.4x 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 $45.90, your out-of-pocket cost would be approximately $9.18. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $45.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $46 | $129 | 2 | 161 | +0.3% |
| Louisiana | $46 | $294 | 2 | 113 | +0.3% |
| Maine | $46 | $66 | 3 | 88 | +0.3% |
| Massachusetts | $46 | $253 | 6 | 1,331 | +0.3% |
| New Mexico | $46 | $120 | 1 | 52 | +0.3% |
| North Dakota | $46 | $188 | 4 | 33 | +0.3% |
| Oklahoma | $46 | $297 | 4 | 248 | +0.3% |
| South Carolina | $46 | $94 | 2 | 35 | +0.3% |
| Utah | $46 | $98 | 4 | 183 | +0.3% |
| Wisconsin | $46 | $215 | 6 | 179 | +0.3% |
| Puerto Rico | $46 | $51 | 28 | 111 | +0.3% |
| Colorado | $46 | $229 | 7 | 411 | +0.3% |
| Kansas | $46 | $251 | 4 | 322 | +0.2% |
| New Jersey | $46 | $207 | 11 | 12,203 | +0.2% |
| Ohio | $46 | $232 | 9 | 1,331 | +0.2% |
| Alabama | $46 | $247 | 4 | 1,498 | +0.2% |
| Illinois | $46 | $333 | 5 | 875 | +0.2% |
| Maryland | $46 | $309 | 7 | 851 | +0.2% |
| Texas | $46 | $289 | 26 | 4,804 | +0.2% |
| Nevada | $46 | $276 | 3 | 398 | +0.2% |
| North Carolina | $46 | $273 | 8 | 6,766 | +0.2% |
| Florida | $46 | $272 | 11 | 11,840 | +0.1% |
| New York | $46 | $281 | 11 | 1,951 | +0.1% |
| Tennessee | $46 | $152 | 12 | 304 | +0.1% |
| Pennsylvania | $46 | $234 | 9 | 604 | +0.0% |
| Arizona | $46 | $212 | 4 | 1,537 | -0.1% |
| Indiana | $46 | $161 | 3 | 170 | -0.2% |
| California | $46 | $234 | 30 | 10,399 | -0.4% |
| Kentucky | $46 | $147 | 2 | 97 | -0.7% |
| Wyoming | $46 | $79 | 2 | 40 | -0.8% |
| Connecticut | $45 | $293 | 1 | 66 | -1.1% |
| Washington | $45 | $225 | 7 | 301 | -1.3% |
| Georgia | $45 | $344 | 6 | 91 | -1.3% |
| Minnesota | $45 | $237 | 47 | 1,276 | -1.3% |
| Oregon | $45 | $90 | 3 | 146 | -1.4% |
| Iowa | $45 | $201 | 2 | 77 | -2.2% |
| Virginia | $45 | $135 | 6 | 133 | -3.1% |
| Idaho | $44 | $80 | 1 | 19 | -3.2% |
| Michigan | $44 | $94 | 8 | 125 | -3.2% |
⚠️ 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