86677

Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)

Medicare pricing data for 1,040 providers across 38 states

🤖AI Overview

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 helicobacter pylori (gastrointestinal bacteria) (HCPCS code 86677) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.49, but hospitals typically charge $66.76 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.30

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $16.49, your out-of-pocket cost would be approximately $3.30. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$16.49
Average Hospital Charge
$66.76
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$66.76
Medicare Allowed$16.49
Medicare Payment$16.49

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $16.49 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Michigan$17$32782+0.7%
Florida$17$7428815+0.1%
Hawaii$17$50185+0.1%
Iowa$17$50926+0.1%
Kansas$17$7823219+0.1%
Louisiana$17$6938116+0.1%
Maine$17$72124+0.1%
Maryland$17$62723+0.1%
Massachusetts$17$562376+0.1%
Missouri$17$532282+0.1%
New Mexico$17$49424+0.1%
North Carolina$17$121426,245+0.1%
Oklahoma$17$1179344+0.1%
Pennsylvania$17$175215+0.1%
South Carolina$17$7226207+0.1%
Tennessee$17$9822800+0.1%
Virginia$17$3740362+0.1%
Washington$17$12911523+0.1%
West Virginia$17$120733+0.1%
Wyoming$17$104812+0.1%
California$17$326823,633+0.1%
Illinois$17$24211,504+0.1%
New Jersey$17$82176,361+0.1%
Puerto Rico$17$1986158+0.1%
Arizona$17$13228743+0.1%
Colorado$16$1079409-0.1%
Kentucky$16$481293-0.2%
Ohio$16$114112,189-0.3%
Wisconsin$16$8614213-0.4%
Alabama$16$1031203,386-0.4%
Arkansas$16$6962320-0.4%
New York$16$9610370-0.5%
Texas$16$991003,175-0.7%
Indiana$16$1502102-0.8%
Oregon$16$521383-0.8%
Mississippi$16$7858198-0.9%
Georgia$16$702672-1.3%
Idaho$16$471834-2.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber