Analysis for antibody to cytomegalovirus (cmv)
Medicare pricing data for 315 providers across 36 states
This procedure has a 7.6x markup — hospitals charge $106.04 but Medicare allows only $14.02. Uninsured patients may face bills 7.6 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 cytomegalovirus (cmv) (HCPCS code 86644) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.02, but hospitals typically charge $106.04 — a 7.6x 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 $14.02, your out-of-pocket cost would be approximately $2.80. 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 7.6x more than what Medicare allows for this procedure. Medicare actually pays $14.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $14 | $149 | 2 | 258 | +0.6% |
| Hawaii | $14 | $48 | 2 | 52 | +0.6% |
| Indiana | $14 | $68 | 9 | 23 | +0.6% |
| Maryland | $14 | $128 | 4 | 137 | +0.6% |
| Massachusetts | $14 | $125 | 23 | 344 | +0.6% |
| Nebraska | $14 | $40 | 1 | 13 | +0.6% |
| Nevada | $14 | $130 | 2 | 62 | +0.6% |
| New Mexico | $14 | $44 | 1 | 25 | +0.6% |
| Oklahoma | $14 | $91 | 4 | 86 | +0.6% |
| Oregon | $14 | $44 | 3 | 62 | +0.6% |
| South Dakota | $14 | $83 | 2 | 34 | +0.6% |
| Tennessee | $14 | $109 | 2 | 96 | +0.6% |
| Utah | $14 | $30 | 3 | 15 | +0.6% |
| Virginia | $14 | $49 | 6 | 113 | +0.6% |
| Washington | $14 | $100 | 7 | 189 | +0.6% |
| Puerto Rico | $14 | $16 | 14 | 28 | +0.6% |
| Colorado | $14 | $116 | 5 | 72 | +0.6% |
| New Jersey | $14 | $93 | 12 | 4,357 | +0.4% |
| North Carolina | $14 | $99 | 11 | 1,632 | +0.4% |
| Kansas | $14 | $123 | 4 | 269 | +0.4% |
| Texas | $14 | $105 | 12 | 1,159 | +0.4% |
| California | $14 | $105 | 29 | 1,763 | +0.4% |
| Florida | $14 | $155 | 12 | 1,567 | +0.3% |
| Illinois | $14 | $100 | 25 | 362 | +0.3% |
| New York | $14 | $104 | 9 | 708 | +0.3% |
| Ohio | $14 | $91 | 9 | 601 | +0.3% |
| Alabama | $14 | $108 | 6 | 307 | -0.6% |
| Michigan | $14 | $54 | 7 | 58 | -0.6% |
| Arizona | $14 | $110 | 5 | 926 | -0.6% |
| Pennsylvania | $14 | $103 | 8 | 208 | -1.1% |
| Louisiana | $14 | $48 | 17 | 33 | -1.1% |
| Wisconsin | $14 | $107 | 6 | 186 | -2.1% |
| Iowa | $14 | $64 | 2 | 28 | -2.3% |
| Kentucky | $13 | $42 | 6 | 17 | -5.3% |
| Minnesota | $13 | $119 | 26 | 540 | -6.8% |
| Maine | $11 | $81 | 1 | 13 | -18.6% |
⚠️ 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