Analysis for antibody to fungus
Medicare pricing data for 138 providers across 27 states
This procedure has a 9.8x markup — hospitals charge $117.47 but Medicare allows only $11.96. Uninsured patients may face bills 9.8 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 fungus (HCPCS code 86671) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.96, but hospitals typically charge $117.47 — a 9.8x 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 $11.96, your out-of-pocket cost would be approximately $2.39. 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 9.8x more than what Medicare allows for this procedure. Medicare actually pays $11.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $12 | $125 | 2 | 50 | +0.4% |
| New Mexico | $12 | $38 | 1 | 30 | +0.4% |
| Florida | $12 | $141 | 6 | 1,441 | +0.3% |
| Georgia | $12 | $143 | 1 | 496 | +0.3% |
| Illinois | $12 | $146 | 2 | 165 | +0.3% |
| Indiana | $12 | $96 | 2 | 24 | +0.3% |
| Kansas | $12 | $135 | 4 | 308 | +0.3% |
| Maryland | $12 | $142 | 4 | 238 | +0.3% |
| Massachusetts | $12 | $148 | 2 | 146 | +0.3% |
| Minnesota | $12 | $172 | 2 | 36 | +0.3% |
| New York | $12 | $94 | 7 | 710 | +0.3% |
| Ohio | $12 | $98 | 9 | 501 | +0.3% |
| Oklahoma | $12 | $138 | 4 | 400 | +0.3% |
| Pennsylvania | $12 | $145 | 5 | 605 | +0.3% |
| Tennessee | $12 | $58 | 2 | 316 | +0.3% |
| Texas | $12 | $126 | 10 | 1,478 | +0.3% |
| Utah | $12 | $41 | 4 | 51 | +0.3% |
| Wisconsin | $12 | $106 | 3 | 24 | +0.3% |
| Alabama | $12 | $89 | 3 | 442 | +0.3% |
| Arizona | $12 | $152 | 4 | 708 | +0.3% |
| Colorado | $12 | $104 | 3 | 110 | +0.3% |
| California | $12 | $130 | 13 | 1,708 | +0.3% |
| North Carolina | $12 | $100 | 7 | 5,436 | +0.2% |
| Washington | $12 | $104 | 3 | 327 | +0.1% |
| Nevada | $12 | $149 | 1 | 166 | -0.3% |
| New Jersey | $12 | $123 | 10 | 4,966 | -0.4% |
| Virginia | $11 | $40 | 4 | 142 | -12.0% |
⚠️ 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