Analysis for antibody to bartonella (bacteria)
Medicare pricing data for 118 providers across 24 states
This procedure has a 6.4x markup — hospitals charge $63.30 but Medicare allows only $9.93. Uninsured patients may face bills 6.4 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
Analysis for antibody to bartonella (bacteria) (HCPCS code 86611) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.93, but hospitals typically charge $63.30 — a 6.4x 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 $9.93, your out-of-pocket cost would be approximately $1.99. 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 6.4x more than what Medicare allows for this procedure. Medicare actually pays $9.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $10 | $88 | 4 | 410 | +0.5% |
| Georgia | $10 | $86 | 1 | 169 | +0.5% |
| Hawaii | $10 | $45 | 2 | 39 | +0.5% |
| Illinois | $10 | $96 | 1 | 161 | +0.5% |
| Kansas | $10 | $73 | 3 | 169 | +0.5% |
| Maryland | $10 | $92 | 4 | 167 | +0.5% |
| Massachusetts | $10 | $107 | 3 | 395 | +0.5% |
| Minnesota | $10 | $87 | 4 | 304 | +0.5% |
| Nevada | $10 | $66 | 1 | 53 | +0.5% |
| New York | $10 | $48 | 6 | 712 | +0.5% |
| Ohio | $10 | $68 | 5 | 42 | +0.5% |
| Oklahoma | $10 | $59 | 3 | 94 | +0.5% |
| Pennsylvania | $10 | $77 | 6 | 231 | +0.5% |
| Rhode Island | $10 | $30 | 1 | 72 | +0.5% |
| Texas | $10 | $76 | 9 | 309 | +0.5% |
| Utah | $10 | $26 | 3 | 41 | +0.5% |
| Washington | $10 | $103 | 1 | 11 | +0.5% |
| Arizona | $10 | $102 | 3 | 105 | +0.5% |
| California | $10 | $39 | 13 | 9,401 | +0.2% |
| Tennessee | $10 | $64 | 2 | 103 | -0.5% |
| New Jersey | $10 | $115 | 10 | 3,763 | -0.6% |
| Virginia | $10 | $17 | 4 | 79 | -0.8% |
| North Carolina | $10 | $44 | 3 | 196 | -3.5% |
| Wisconsin | $9 | $72 | 4 | 36 | -7.4% |
⚠️ 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