Microsomal antibodies (autoantibody) measurement
Medicare pricing data for 3,285 providers across 46 states
This procedure has a 6.5x markup — hospitals charge $92.79 but Medicare allows only $14.24. Uninsured patients may face bills 6.5 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
Microsomal antibodies (autoantibody) measurement (HCPCS code 86376) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.24, but hospitals typically charge $92.79 — a 6.5x 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 $14.24, your out-of-pocket cost would be approximately $2.85. 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 6.5x more than what Medicare allows for this procedure. Medicare actually pays $14.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Idaho | $14 | $66 | 18 | 227 | +0.1% |
| Illinois | $14 | $118 | 46 | 6,885 | +0.1% |
| Maine | $14 | $48 | 2 | 96 | +0.1% |
| New Hampshire | $14 | $59 | 18 | 55 | +0.1% |
| North Dakota | $14 | $38 | 13 | 1,502 | +0.1% |
| Wyoming | $14 | $109 | 2 | 50 | +0.1% |
| Connecticut | $14 | $117 | 9 | 77 | +0.1% |
| Florida | $14 | $105 | 160 | 54,672 | +0.1% |
| Georgia | $14 | $122 | 48 | 9,143 | +0.1% |
| Kansas | $14 | $120 | 12 | 6,460 | +0.1% |
| Massachusetts | $14 | $86 | 133 | 8,376 | +0.1% |
| Missouri | $14 | $154 | 46 | 1,197 | +0.1% |
| New Jersey | $14 | $104 | 164 | 63,297 | +0.1% |
| Pennsylvania | $14 | $73 | 35 | 5,174 | +0.1% |
| Puerto Rico | $14 | $16 | 217 | 895 | +0.1% |
| Colorado | $14 | $99 | 25 | 2,942 | +0.1% |
| Nevada | $14 | $123 | 8 | 4,050 | 0.0% |
| New York | $14 | $99 | 318 | 35,579 | 0.0% |
| Ohio | $14 | $88 | 100 | 13,491 | 0.0% |
| Texas | $14 | $89 | 200 | 53,295 | 0.0% |
| California | $14 | $81 | 134 | 74,031 | 0.0% |
| Maryland | $14 | $96 | 85 | 5,369 | -0.1% |
| Michigan | $14 | $30 | 22 | 2,674 | -0.1% |
| New Mexico | $14 | $72 | 3 | 1,088 | -0.1% |
| Arizona | $14 | $99 | 90 | 19,700 | -0.1% |
| Nebraska | $14 | $45 | 2 | 308 | -0.1% |
| North Carolina | $14 | $87 | 131 | 37,481 | -0.1% |
| Oklahoma | $14 | $96 | 39 | 5,098 | -0.1% |
| Alabama | $14 | $83 | 28 | 9,702 | -0.1% |
| Minnesota | $14 | $113 | 245 | 4,418 | -0.2% |
| Indiana | $14 | $48 | 27 | 1,079 | -0.3% |
| Rhode Island | $14 | $40 | 5 | 209 | -0.3% |
| South Carolina | $14 | $40 | 20 | 1,964 | -0.3% |
| Washington | $14 | $86 | 167 | 3,566 | -0.3% |
| Kentucky | $14 | $51 | 36 | 1,138 | -0.4% |
| Louisiana | $14 | $51 | 48 | 1,264 | -0.4% |
| Hawaii | $14 | $57 | 2 | 713 | -0.5% |
| Utah | $14 | $44 | 104 | 644 | -0.5% |
| Oregon | $14 | $42 | 58 | 1,277 | -0.6% |
| Arkansas | $14 | $52 | 54 | 383 | -0.7% |
| Tennessee | $14 | $73 | 281 | 6,372 | -0.8% |
| Iowa | $14 | $61 | 8 | 314 | -0.9% |
| Wisconsin | $14 | $92 | 19 | 1,505 | -0.9% |
| South Dakota | $14 | $75 | 9 | 288 | -1.0% |
| Mississippi | $14 | $68 | 21 | 862 | -1.4% |
| Virginia | $14 | $36 | 55 | 1,821 | -2.0% |
⚠️ 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