Analysis for antibody to epstein-barr virus (mononucleosis virus), nuclear antigen
Medicare pricing data for 437 providers across 39 states
This procedure has a 6.1x markup — hospitals charge $91.84 but Medicare allows only $14.94. Uninsured patients may face bills 6.1 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 to epstein-barr virus (mononucleosis virus), nuclear antigen (HCPCS code 86664) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.94, but hospitals typically charge $91.84 — a 6.1x 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 $14.94, your out-of-pocket cost would be approximately $2.99. 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 6.1x more than what Medicare allows for this procedure. Medicare actually pays $14.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $15 | $113 | 2 | 633 | +0.3% |
| Illinois | $15 | $111 | 3 | 576 | +0.3% |
| Kansas | $15 | $107 | 5 | 623 | +0.3% |
| Louisiana | $15 | $48 | 17 | 77 | +0.3% |
| Maryland | $15 | $114 | 5 | 256 | +0.3% |
| Massachusetts | $15 | $109 | 37 | 658 | +0.3% |
| Michigan | $15 | $43 | 8 | 40 | +0.3% |
| Nebraska | $15 | $25 | 1 | 25 | +0.3% |
| New Mexico | $15 | $145 | 1 | 45 | +0.3% |
| North Dakota | $15 | $42 | 2 | 17 | +0.3% |
| Pennsylvania | $15 | $108 | 6 | 385 | +0.3% |
| Rhode Island | $15 | $40 | 1 | 46 | +0.3% |
| South Carolina | $15 | $45 | 2 | 22 | +0.3% |
| Tennessee | $15 | $91 | 4 | 173 | +0.3% |
| Colorado | $15 | $94 | 6 | 156 | +0.3% |
| Connecticut | $15 | $54 | 9 | 23 | +0.3% |
| New York | $15 | $76 | 39 | 3,050 | +0.2% |
| New Jersey | $15 | $85 | 41 | 7,603 | +0.1% |
| Texas | $15 | $88 | 50 | 2,451 | +0.1% |
| Washington | $15 | $110 | 6 | 415 | +0.1% |
| California | $15 | $102 | 25 | 2,839 | 0.0% |
| North Carolina | $15 | $91 | 12 | 3,025 | -0.1% |
| Ohio | $15 | $83 | 21 | 1,091 | -0.1% |
| Florida | $15 | $118 | 17 | 2,633 | -0.1% |
| Nevada | $15 | $112 | 2 | 148 | -0.2% |
| Oklahoma | $15 | $93 | 5 | 193 | -0.2% |
| Arizona | $15 | $79 | 5 | 1,350 | -0.3% |
| Oregon | $15 | $64 | 3 | 91 | -0.6% |
| Alabama | $15 | $95 | 7 | 636 | -0.7% |
| Hawaii | $15 | $60 | 2 | 120 | -0.7% |
| Minnesota | $15 | $129 | 22 | 186 | -0.7% |
| Wisconsin | $15 | $98 | 6 | 38 | -1.2% |
| Kentucky | $15 | $62 | 2 | 143 | -1.4% |
| Utah | $15 | $23 | 17 | 97 | -2.4% |
| South Dakota | $14 | $90 | 2 | 29 | -3.2% |
| Virginia | $14 | $46 | 5 | 128 | -3.3% |
| Maine | $14 | $66 | 4 | 29 | -5.4% |
| Indiana | $14 | $71 | 4 | 27 | -5.9% |
| Iowa | $14 | $52 | 6 | 30 | -7.8% |
⚠️ 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