Analysis for antibody to coccidioides (bacteria)
Medicare pricing data for 185 providers across 32 states
This procedure has a 6.2x markup — hospitals charge $69.52 but Medicare allows only $11.20. Uninsured patients may face bills 6.2 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 coccidioides (bacteria) (HCPCS code 86635) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.20, but hospitals typically charge $69.52 — a 6.2x 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 $11.20, your out-of-pocket cost would be approximately $2.24. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $11.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $11 | $93 | 2 | 192 | +0.4% |
| Hawaii | $11 | $47 | 2 | 115 | +0.4% |
| Illinois | $11 | $82 | 2 | 202 | +0.4% |
| Indiana | $11 | $46 | 2 | 59 | +0.4% |
| Iowa | $11 | $28 | 2 | 75 | +0.4% |
| Kansas | $11 | $85 | 4 | 358 | +0.4% |
| Kentucky | $11 | $36 | 2 | 54 | +0.4% |
| Maryland | $11 | $82 | 4 | 43 | +0.4% |
| Massachusetts | $11 | $78 | 3 | 44 | +0.4% |
| Minnesota | $11 | $78 | 7 | 2,827 | +0.4% |
| New Mexico | $11 | $45 | 1 | 153 | +0.4% |
| New York | $11 | $71 | 3 | 45 | +0.4% |
| North Carolina | $11 | $85 | 3 | 1,271 | +0.4% |
| Oklahoma | $11 | $71 | 4 | 102 | +0.4% |
| Pennsylvania | $11 | $77 | 4 | 41 | +0.4% |
| South Carolina | $11 | $64 | 1 | 77 | +0.4% |
| South Dakota | $11 | $65 | 2 | 76 | +0.4% |
| Tennessee | $11 | $94 | 2 | 23 | +0.4% |
| Texas | $11 | $79 | 13 | 1,266 | +0.4% |
| Utah | $11 | $27 | 3 | 211 | +0.4% |
| Washington | $11 | $72 | 5 | 277 | +0.4% |
| Alabama | $11 | $128 | 1 | 28 | +0.4% |
| Colorado | $11 | $89 | 5 | 95 | +0.4% |
| Nevada | $11 | $76 | 4 | 1,328 | +0.2% |
| Oregon | $11 | $22 | 3 | 79 | 0.0% |
| Arizona | $11 | $70 | 30 | 55,307 | 0.0% |
| California | $11 | $63 | 31 | 14,256 | -0.2% |
| Florida | $11 | $112 | 4 | 205 | -0.6% |
| Wisconsin | $11 | $69 | 7 | 137 | -1.1% |
| Ohio | $11 | $69 | 8 | 72 | -1.9% |
| New Jersey | $10 | $71 | 4 | 291 | -8.1% |
| Virginia | $10 | $29 | 4 | 58 | -11.0% |
⚠️ 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