Analysis for antibody (igm) to cytomegalovirus (cmv)
Medicare pricing data for 294 providers across 36 states
This procedure has a 7.1x markup — hospitals charge $117.60 but Medicare allows only $16.45. Uninsured patients may face bills 7.1 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 (igm) to cytomegalovirus (cmv) (HCPCS code 86645) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.45, but hospitals typically charge $117.60 — a 7.1x 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 $16.45, your out-of-pocket cost would be approximately $3.29. 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 7.1x more than what Medicare allows for this procedure. Medicare actually pays $16.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $17 | $183 | 1 | 264 | +0.4% |
| Hawaii | $17 | $51 | 2 | 50 | +0.4% |
| Illinois | $17 | $164 | 22 | 229 | +0.4% |
| Kentucky | $17 | $52 | 4 | 18 | +0.4% |
| Maryland | $17 | $134 | 5 | 118 | +0.4% |
| Massachusetts | $17 | $116 | 23 | 270 | +0.4% |
| Nebraska | $17 | $50 | 1 | 14 | +0.4% |
| Nevada | $17 | $144 | 2 | 73 | +0.4% |
| New Mexico | $17 | $129 | 1 | 25 | +0.4% |
| Ohio | $17 | $109 | 10 | 436 | +0.4% |
| Oklahoma | $17 | $100 | 3 | 82 | +0.4% |
| South Dakota | $17 | $86 | 2 | 36 | +0.4% |
| Tennessee | $17 | $100 | 2 | 95 | +0.4% |
| Utah | $17 | $33 | 4 | 22 | +0.4% |
| Washington | $17 | $121 | 7 | 152 | +0.4% |
| Puerto Rico | $17 | $20 | 13 | 25 | +0.4% |
| Colorado | $17 | $138 | 4 | 58 | +0.4% |
| Florida | $16 | $178 | 11 | 1,438 | +0.2% |
| New Jersey | $16 | $100 | 10 | 3,830 | +0.2% |
| Kansas | $16 | $129 | 4 | 260 | +0.2% |
| North Carolina | $16 | $109 | 10 | 1,414 | +0.2% |
| California | $16 | $118 | 24 | 1,521 | +0.2% |
| New York | $16 | $119 | 9 | 662 | +0.1% |
| Texas | $16 | $94 | 12 | 991 | +0.1% |
| Alabama | $16 | $113 | 5 | 259 | -0.7% |
| Arizona | $16 | $123 | 5 | 838 | -0.9% |
| Michigan | $16 | $60 | 7 | 58 | -0.9% |
| Minnesota | $16 | $165 | 21 | 366 | -1.0% |
| Oregon | $16 | $42 | 3 | 63 | -1.1% |
| Virginia | $16 | $51 | 7 | 117 | -1.1% |
| Wisconsin | $16 | $102 | 6 | 112 | -1.4% |
| Louisiana | $16 | $50 | 17 | 29 | -1.6% |
| Pennsylvania | $16 | $112 | 7 | 172 | -2.1% |
| Iowa | $16 | $65 | 3 | 31 | -2.2% |
| Indiana | $16 | $72 | 9 | 32 | -5.7% |
| Maine | $13 | $81 | 1 | 12 | -20.4% |
⚠️ 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