86707

Hepatitis be antibody measurement

Medicare pricing data for 209 providers across 31 states

🤖AI Overview

This procedure has a 7.2x markup — hospitals charge $81.08 but Medicare allows only $11.32. Uninsured patients may face bills 7.2 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 be antibody measurement (HCPCS code 86707) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.32, but hospitals typically charge $81.08 — a 7.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.32, your out-of-pocket cost would be approximately $2.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.32
Average Hospital Charge
$81.08
Markup Ratio
7.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.08
Medicare Allowed$11.32
Medicare Payment$11.32

Hospitals charge 7.2x more than what Medicare allows for this procedure. Medicare actually pays $11.32 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$11$977643+0.2%
Georgia$11$943228+0.2%
Illinois$11$805115+0.2%
Indiana$11$64216+0.2%
Kansas$11$1005122+0.2%
Massachusetts$11$923147+0.2%
Minnesota$11$115596+0.2%
Mississippi$11$82666+0.2%
Nevada$11$81475+0.2%
New Jersey$11$77164,379+0.2%
New Mexico$11$92312+0.2%
New York$11$113101,580+0.2%
Ohio$11$769229+0.2%
Oklahoma$11$87478+0.2%
Tennessee$11$72253+0.2%
Utah$11$25257+0.2%
Virginia$11$305142+0.2%
Washington$11$915110+0.2%
Puerto Rico$11$15711+0.2%
Arizona$11$756656+0.2%
Colorado$11$81452+0.2%
North Carolina$11$8381,101+0.1%
Texas$11$81131,825+0.1%
Pennsylvania$11$347569-0.1%
Maryland$11$848237-0.2%
Alabama$11$744200-0.2%
California$11$79272,796-0.2%
Hawaii$11$58260-1.1%
Wisconsin$11$85444-1.5%
Oregon$11$31418-3.7%
Michigan$10$36424-9.3%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber