86708

Measurement of hepatitis a antibody

Medicare pricing data for 1,415 providers across 44 states

🤖AI Overview

This procedure has a 7.5x markup — hospitals charge $90.32 but Medicare allows only $12.12. Uninsured patients may face bills 7.5 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

Measurement of hepatitis a antibody (HCPCS code 86708) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.12, but hospitals typically charge $90.32 — a 7.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.12, your out-of-pocket cost would be approximately $2.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.12
Average Hospital Charge
$90.32
Markup Ratio
7.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.32
Medicare Allowed$12.12
Medicare Payment$12.12

Hospitals charge 7.5x more than what Medicare allows for this procedure. Medicare actually pays $12.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$12$17117+0.2%
Georgia$12$11282,540+0.2%
Indiana$12$50678+0.2%
Kentucky$12$386113+0.2%
Louisiana$12$523477+0.2%
Maine$12$47254+0.2%
Michigan$12$3732482+0.2%
New Mexico$12$783119+0.2%
North Dakota$12$53518+0.2%
West Virginia$12$31224+0.2%
Alaska$12$90626+0.2%
Arkansas$12$431444+0.2%
Colorado$12$9910856+0.2%
Connecticut$12$701137+0.2%
Illinois$12$76443,676+0.1%
Kansas$12$11082,167+0.1%
Maryland$12$97101,693+0.1%
New Jersey$12$878721,013+0.1%
North Carolina$12$93169,054+0.1%
Pennsylvania$12$57132,794+0.1%
Texas$12$1035913,558+0.1%
Puerto Rico$12$1448116+0.1%
California$12$7710823,061+0.1%
Florida$12$1063510,8180.0%
Massachusetts$12$902073,2420.0%
Nevada$12$11371,8260.0%
New York$12$1052828,0570.0%
Ohio$12$81682,5850.0%
Alabama$12$8962,347-0.1%
Oklahoma$12$106101,092-0.2%
Washington$12$91443,198-0.2%
Virginia$12$388436-0.2%
Arizona$12$10143,728-0.3%
Rhode Island$12$543125-0.5%
Wisconsin$12$8611302-0.5%
Hawaii$12$422525-0.7%
Oregon$12$439209-0.7%
Minnesota$12$12139566-0.7%
Missouri$12$2527253-0.7%
South Dakota$12$766122-1.2%
South Carolina$12$69539-1.3%
Tennessee$12$6772787-1.4%
Iowa$12$61795-1.6%
Mississippi$12$5316154-1.7%

⚠️ 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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