Analysis for antibody to epstein-barr virus (mononucleosis virus), early antigen
Medicare pricing data for 348 providers across 37 states
This procedure has a 7.0x markup — hospitals charge $89.53 but Medicare allows only $12.83. Uninsured patients may face bills 7.0 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 epstein-barr virus (mononucleosis virus), early antigen (HCPCS code 86663) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.83, but hospitals typically charge $89.53 — a 7.0x 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 $12.83, your out-of-pocket cost would be approximately $2.57. 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 7.0x more than what Medicare allows for this procedure. Medicare actually pays $12.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $13 | $140 | 1 | 135 | +0.2% |
| Illinois | $13 | $132 | 16 | 150 | +0.2% |
| Kansas | $13 | $123 | 5 | 146 | +0.2% |
| Louisiana | $13 | $76 | 3 | 65 | +0.2% |
| Maryland | $13 | $124 | 4 | 145 | +0.2% |
| Massachusetts | $13 | $124 | 37 | 400 | +0.2% |
| Michigan | $13 | $38 | 7 | 27 | +0.2% |
| Minnesota | $13 | $83 | 4 | 20 | +0.2% |
| Nebraska | $13 | $20 | 1 | 25 | +0.2% |
| Nevada | $13 | $135 | 2 | 60 | +0.2% |
| New Mexico | $13 | $124 | 2 | 46 | +0.2% |
| North Dakota | $13 | $37 | 2 | 16 | +0.2% |
| Pennsylvania | $13 | $109 | 6 | 214 | +0.2% |
| Rhode Island | $13 | $34 | 1 | 41 | +0.2% |
| South Carolina | $13 | $30 | 2 | 25 | +0.2% |
| Tennessee | $13 | $57 | 2 | 153 | +0.2% |
| Virginia | $13 | $41 | 4 | 36 | +0.2% |
| Wisconsin | $13 | $97 | 6 | 38 | +0.2% |
| Puerto Rico | $13 | $15 | 12 | 21 | +0.2% |
| Colorado | $13 | $101 | 3 | 91 | +0.2% |
| New Jersey | $13 | $87 | 15 | 4,634 | +0.2% |
| New York | $13 | $71 | 38 | 3,036 | +0.2% |
| Texas | $13 | $103 | 52 | 1,596 | +0.2% |
| Florida | $13 | $125 | 14 | 1,091 | +0.1% |
| California | $13 | $102 | 20 | 1,247 | +0.1% |
| Ohio | $13 | $73 | 8 | 616 | -0.1% |
| North Carolina | $13 | $84 | 11 | 1,978 | -0.2% |
| Washington | $13 | $128 | 4 | 188 | -0.2% |
| Arizona | $13 | $92 | 5 | 548 | -0.2% |
| Oklahoma | $13 | $88 | 4 | 112 | -0.5% |
| Oregon | $13 | $39 | 4 | 94 | -0.6% |
| Hawaii | $13 | $51 | 2 | 121 | -0.8% |
| Alabama | $13 | $91 | 6 | 223 | -1.1% |
| Kentucky | $13 | $46 | 1 | 64 | -1.2% |
| Utah | $12 | $22 | 18 | 125 | -3.3% |
| Maine | $12 | $58 | 2 | 27 | -5.8% |
| South Dakota | $12 | $71 | 2 | 14 | -6.9% |
⚠️ 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