86480

Tuberculosis test, gamma interferon

Medicare pricing data for 1,441 providers across 46 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

Tuberculosis test, gamma interferon (HCPCS code 86480) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $60.58, but hospitals typically charge $273.07 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $60.58, your out-of-pocket cost would be approximately $12.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$60.58
Average Hospital Charge
$273.07
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$273.07
Medicare Allowed$60.58
Medicare Payment$60.58

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $60.58 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$61$68283+0.3%
New Hampshire$61$2021687+0.3%
New Mexico$61$1253612+0.3%
Rhode Island$61$1501333+0.3%
Wyoming$61$209515+0.3%
Puerto Rico$61$631028+0.3%
Oregon$61$2366234+0.2%
Massachusetts$61$344285,442+0.2%
Colorado$61$22581,912+0.2%
Nevada$61$31352,376+0.2%
New York$61$39512910,234+0.2%
Kansas$61$318116,987+0.1%
New Jersey$61$27711836,729+0.1%
Texas$61$25610127,461+0.1%
Florida$61$3113924,517+0.1%
Arizona$61$2303310,346+0.1%
North Carolina$61$2585737,843+0.0%
California$61$29814531,688+0.0%
Maryland$61$292183,213+0.0%
Washington$61$261315,920-0.0%
Illinois$61$315357,271-0.0%
Louisiana$61$2023557-0.1%
Pennsylvania$61$262163,773-0.1%
Hawaii$61$19721,027-0.1%
Ohio$60$2093311,621-0.2%
Tennessee$60$244241,878-0.3%
Minnesota$60$2461752,365-0.3%
Oklahoma$60$262384,349-0.4%
South Carolina$60$182431,086-0.4%
Georgia$60$197291,304-0.4%
Alabama$60$22477,727-0.5%
Indiana$60$183151,180-0.5%
Michigan$60$16613782-0.6%
Maine$60$1652247-0.8%
Connecticut$60$25529141-0.9%
Kentucky$60$15215707-0.9%
Wisconsin$60$212252,271-1.0%
Virginia$60$17081,274-1.0%
South Dakota$60$2139564-1.2%
Iowa$60$16425590-1.2%
Idaho$60$18315403-1.5%
Missouri$59$13821151-2.2%
Utah$58$9744467-3.4%
North Dakota$58$245892-4.6%
Arkansas$58$2571740-5.0%
Mississippi$56$2531696-8.1%

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

Related from TheDataProject.ai

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