86706

Hepatitis b surface antibody measurement

Medicare pricing data for 2,414 providers across 48 states

🤖AI Overview

This procedure has a 7.1x markup — hospitals charge $74.19 but Medicare allows only $10.50. Uninsured patients may face bills 7.1 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

Hepatitis b surface antibody measurement (HCPCS code 86706) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.50, but hospitals typically charge $74.19 — a 7.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.10

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.50, your out-of-pocket cost would be approximately $2.10. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.50
Average Hospital Charge
$74.19
Markup Ratio
7.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$74.19
Medicare Allowed$10.50
Medicare Payment$10.50

Hospitals charge 7.1x more than what Medicare allows for this procedure. Medicare actually pays $10.50 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$11$27267+0.3%
Georgia$11$89133,803+0.3%
Idaho$11$35213+0.3%
Kentucky$11$3510344+0.3%
Missouri$11$2722125+0.3%
New Hampshire$11$422765+0.3%
New Mexico$11$65619+0.3%
Vermont$11$42911+0.3%
West Virginia$11$78220+0.3%
Illinois$11$55515,524+0.2%
Kansas$11$88102,901+0.2%
Maryland$11$76352,638+0.2%
Massachusetts$11$544149,533+0.2%
New Jersey$11$784532,135+0.2%
Texas$11$8215618,977+0.2%
Virginia$11$48481,268+0.2%
New York$11$7433612,547+0.1%
North Carolina$11$857320,310+0.1%
California$11$6613932,241+0.1%
Colorado$11$87111,423+0.1%
Nevada$11$9051,9200.0%
Pennsylvania$11$47223,3530.0%
Puerto Rico$11$12751870.0%
Arizona$11$81557,5640.0%
Hawaii$10$3921,628-0.1%
Ohio$10$69734,925-0.1%
Rhode Island$10$445219-0.1%
South Dakota$10$6315298-0.1%
Alabama$10$79175,259-0.1%
Florida$10$895814,625-0.2%
Michigan$10$34431,112-0.3%
Oklahoma$10$65452,371-0.3%
Tennessee$10$87331,100-0.3%
Utah$10$2124132-0.3%
Iowa$10$4748268-0.4%
Connecticut$10$658147-0.4%
Maine$10$3424345-0.5%
Minnesota$10$911091,718-0.5%
Oregon$10$42441,263-0.6%
Washington$10$721594,140-0.6%
Louisiana$10$5717107-0.7%
South Carolina$10$6419507-1.0%
Indiana$10$411141-1.4%
North Dakota$10$597125-1.4%
Nebraska$10$344113-1.5%
Wisconsin$10$7341441-2.4%
Mississippi$10$705136-4.8%
Arkansas$10$442452-6.4%

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

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