Measurement of mitochondrial antibody
Medicare pricing data for 303 providers across 38 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
Measurement of mitochondrial antibody (HCPCS code 86381) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.88, but hospitals typically charge $124.06 — a 5.0x 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 $24.88, your out-of-pocket cost would be approximately $4.98. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $24.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $25 | $132 | 2 | 1,797 | +0.2% |
| Indiana | $25 | $108 | 2 | 80 | +0.2% |
| Kansas | $25 | $126 | 7 | 1,105 | +0.2% |
| Louisiana | $25 | $119 | 1 | 14 | +0.2% |
| Maine | $25 | $63 | 2 | 47 | +0.2% |
| New Hampshire | $25 | $41 | 7 | 12 | +0.2% |
| New Mexico | $25 | $84 | 1 | 96 | +0.2% |
| North Dakota | $25 | $88 | 1 | 19 | +0.2% |
| Oklahoma | $25 | $122 | 5 | 467 | +0.2% |
| Oregon | $25 | $54 | 4 | 76 | +0.2% |
| Pennsylvania | $25 | $179 | 4 | 704 | +0.2% |
| South Dakota | $25 | $87 | 3 | 64 | +0.2% |
| Puerto Rico | $25 | $25 | 5 | 29 | +0.2% |
| Colorado | $25 | $127 | 6 | 527 | +0.2% |
| Florida | $25 | $141 | 8 | 5,502 | +0.2% |
| New Jersey | $25 | $129 | 9 | 7,719 | +0.2% |
| Texas | $25 | $118 | 28 | 6,970 | +0.2% |
| Alabama | $25 | $123 | 3 | 2,126 | +0.2% |
| Massachusetts | $25 | $156 | 5 | 1,344 | +0.2% |
| Nevada | $25 | $135 | 1 | 476 | +0.2% |
| North Carolina | $25 | $125 | 10 | 9,247 | +0.1% |
| Arizona | $25 | $113 | 3 | 3,576 | +0.0% |
| California | $25 | $129 | 21 | 6,303 | +0.0% |
| Illinois | $25 | $130 | 5 | 820 | 0.0% |
| Tennessee | $25 | $82 | 2 | 426 | -0.1% |
| Utah | $25 | $58 | 11 | 124 | -0.1% |
| Maryland | $25 | $117 | 4 | 797 | -0.2% |
| New York | $25 | $92 | 8 | 1,244 | -0.3% |
| Hawaii | $25 | $54 | 2 | 239 | -0.4% |
| Minnesota | $25 | $120 | 69 | 745 | -0.4% |
| Washington | $25 | $117 | 16 | 964 | -0.4% |
| Ohio | $25 | $113 | 11 | 2,226 | -0.8% |
| Wisconsin | $25 | $86 | 7 | 492 | -1.3% |
| Iowa | $24 | $66 | 6 | 146 | -2.0% |
| South Carolina | $24 | $50 | 2 | 20 | -2.4% |
| Michigan | $24 | $103 | 6 | 47 | -3.3% |
| Mississippi | $24 | $83 | 3 | 49 | -4.0% |
| Virginia | $23 | $51 | 5 | 483 | -8.7% |
⚠️ 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