Tuberculosis test, enumeration of t-cells
Medicare pricing data for 446 providers across 40 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
Tuberculosis test, enumeration of t-cells (HCPCS code 86481) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $96.94, but hospitals typically charge $268.85 — a 2.8x 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 $96.94, your out-of-pocket cost would be approximately $19.39. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $96.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $98 | $289 | 6 | 414 | +1.1% |
| Indiana | $98 | $232 | 2 | 122 | +1.1% |
| Maine | $98 | $145 | 2 | 20 | +1.1% |
| Maryland | $98 | $304 | 1 | 502 | +1.1% |
| Nevada | $98 | $198 | 2 | 31 | +1.1% |
| New York | $98 | $418 | 5 | 1,471 | +1.1% |
| Rhode Island | $98 | $279 | 2 | 20 | +1.1% |
| South Carolina | $98 | $140 | 7 | 111 | +1.1% |
| South Dakota | $98 | $217 | 1 | 34 | +1.1% |
| Utah | $98 | $249 | 2 | 12 | +1.1% |
| Virginia | $98 | $209 | 2 | 39 | +1.1% |
| Puerto Rico | $98 | $100 | 3 | 56 | +1.1% |
| Connecticut | $98 | $127 | 1 | 12 | +1.1% |
| New Jersey | $98 | $166 | 9 | 1,199 | +1.0% |
| Texas | $98 | $303 | 9 | 2,676 | +1.0% |
| Massachusetts | $98 | $256 | 10 | 511 | +0.9% |
| California | $98 | $294 | 39 | 10,779 | +0.9% |
| Oregon | $98 | $147 | 2 | 529 | +0.8% |
| Florida | $98 | $310 | 15 | 1,273 | +0.8% |
| Michigan | $98 | $195 | 2 | 243 | +0.7% |
| Georgia | $98 | $743 | 11 | 417 | +0.6% |
| Pennsylvania | $98 | $230 | 8 | 332 | +0.6% |
| Wisconsin | $98 | $381 | 21 | 386 | +0.6% |
| Tennessee | $97 | $297 | 5 | 1,368 | +0.5% |
| Idaho | $97 | $300 | 5 | 254 | +0.4% |
| North Carolina | $97 | $200 | 35 | 2,192 | +0.4% |
| Iowa | $97 | $171 | 2 | 276 | +0.4% |
| Kansas | $97 | $249 | 11 | 1,276 | +0.3% |
| Arizona | $97 | $215 | 2 | 2,779 | +0.3% |
| Kentucky | $97 | $181 | 8 | 628 | +0.2% |
| Oklahoma | $97 | $189 | 5 | 974 | -0.1% |
| New Mexico | $97 | $200 | 2 | 260 | -0.2% |
| Nebraska | $96 | $195 | 7 | 233 | -0.6% |
| Minnesota | $96 | $323 | 106 | 581 | -0.7% |
| Alabama | $96 | $127 | 12 | 455 | -1.1% |
| Mississippi | $96 | $258 | 2 | 467 | -1.2% |
| Washington | $96 | $227 | 63 | 171 | -1.3% |
| Missouri | $96 | $206 | 2 | 27 | -1.4% |
| Arkansas | $96 | $175 | 6 | 411 | -1.4% |
| Ohio | $81 | $201 | 3 | 1,149 | -16.6% |
⚠️ 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