Analysis for antibody to ehrlichia (bacteria transmitted by ticks)
Medicare pricing data for 154 providers across 28 states
This procedure has a 12.0x markup — hospitals charge $119.31 but Medicare allows only $9.96. Uninsured patients may face bills 12.0 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 ehrlichia (bacteria transmitted by ticks) (HCPCS code 86666) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.96, but hospitals typically charge $119.31 — a 12.0x 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 $9.96, your out-of-pocket cost would be approximately $1.99. 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 12.0x more than what Medicare allows for this procedure. Medicare actually pays $9.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $10 | $119 | 2 | 1,151 | +0.2% |
| Illinois | $10 | $116 | 2 | 902 | +0.2% |
| Kansas | $10 | $122 | 5 | 3,393 | +0.2% |
| Louisiana | $10 | $24 | 1 | 36 | +0.2% |
| Maryland | $10 | $126 | 3 | 600 | +0.2% |
| Massachusetts | $10 | $121 | 4 | 11,306 | +0.2% |
| Mississippi | $10 | $80 | 2 | 27 | +0.2% |
| Rhode Island | $10 | $22 | 1 | 524 | +0.2% |
| Tennessee | $10 | $118 | 3 | 566 | +0.2% |
| Texas | $10 | $127 | 8 | 640 | +0.2% |
| Utah | $10 | $20 | 1 | 68 | +0.2% |
| Virginia | $10 | $55 | 5 | 378 | +0.2% |
| Washington | $10 | $133 | 2 | 63 | +0.2% |
| Wisconsin | $10 | $75 | 6 | 89 | +0.2% |
| Alabama | $10 | $156 | 3 | 469 | +0.2% |
| Arizona | $10 | $129 | 3 | 65 | +0.2% |
| California | $10 | $82 | 7 | 8,960 | +0.2% |
| Connecticut | $10 | $105 | 2 | 60 | +0.2% |
| Florida | $10 | $125 | 5 | 630 | 0.0% |
| Minnesota | $10 | $114 | 8 | 775 | 0.0% |
| New York | $10 | $51 | 7 | 6,432 | 0.0% |
| North Carolina | $10 | $146 | 7 | 12,079 | 0.0% |
| Oklahoma | $10 | $81 | 6 | 969 | 0.0% |
| New Jersey | $10 | $134 | 14 | 33,439 | -0.1% |
| Ohio | $10 | $173 | 6 | 886 | -0.3% |
| Pennsylvania | $10 | $113 | 6 | 854 | -0.5% |
| Kentucky | $10 | $33 | 1 | 219 | -0.7% |
| Arkansas | $9 | $41 | 9 | 37 | -5.2% |
⚠️ 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