Measurement of hepatitis a antibody (igm)
Medicare pricing data for 819 providers across 41 states
This procedure has a 7.2x markup — hospitals charge $79.51 but Medicare allows only $11.01. 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
Measurement of hepatitis a antibody (igm) (HCPCS code 86709) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.01, but hospitals typically charge $79.51 — a 7.2x 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 $11.01, your out-of-pocket cost would be approximately $2.20. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $11.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Missouri | $11 | $37 | 26 | 55 | +0.3% |
| Georgia | $11 | $129 | 3 | 343 | +0.2% |
| Hawaii | $11 | $44 | 2 | 157 | +0.2% |
| Illinois | $11 | $79 | 28 | 635 | +0.2% |
| Indiana | $11 | $104 | 5 | 37 | +0.2% |
| Kansas | $11 | $123 | 8 | 315 | +0.2% |
| Louisiana | $11 | $52 | 12 | 60 | +0.2% |
| Maine | $11 | $55 | 2 | 11 | +0.2% |
| Michigan | $11 | $31 | 13 | 207 | +0.2% |
| Nebraska | $11 | $35 | 1 | 46 | +0.2% |
| Nevada | $11 | $122 | 4 | 157 | +0.2% |
| New Mexico | $11 | $45 | 2 | 22 | +0.2% |
| Rhode Island | $11 | $79 | 3 | 77 | +0.2% |
| South Carolina | $11 | $33 | 10 | 77 | +0.2% |
| Utah | $11 | $27 | 7 | 13 | +0.2% |
| Washington | $11 | $92 | 9 | 1,006 | +0.2% |
| Puerto Rico | $11 | $13 | 21 | 45 | +0.2% |
| Arkansas | $11 | $26 | 16 | 55 | +0.2% |
| Colorado | $11 | $99 | 4 | 266 | +0.2% |
| Massachusetts | $11 | $103 | 63 | 643 | +0.1% |
| New Jersey | $11 | $83 | 35 | 8,230 | +0.1% |
| New York | $11 | $78 | 142 | 2,743 | +0.1% |
| North Carolina | $11 | $95 | 13 | 2,355 | +0.1% |
| Pennsylvania | $11 | $39 | 14 | 1,077 | +0.1% |
| California | $11 | $60 | 66 | 8,560 | +0.1% |
| Florida | $11 | $107 | 33 | 2,053 | 0.0% |
| Maryland | $11 | $82 | 34 | 429 | 0.0% |
| Ohio | $11 | $87 | 30 | 967 | -0.1% |
| Texas | $11 | $95 | 39 | 1,748 | -0.1% |
| Alabama | $11 | $94 | 7 | 860 | -0.1% |
| Tennessee | $11 | $72 | 40 | 172 | -0.3% |
| Virginia | $11 | $43 | 12 | 172 | -0.3% |
| Arizona | $11 | $93 | 19 | 1,790 | -0.3% |
| Mississippi | $11 | $80 | 5 | 303 | -0.4% |
| Oregon | $11 | $41 | 7 | 448 | -0.5% |
| Oklahoma | $11 | $89 | 9 | 361 | -0.8% |
| South Dakota | $11 | $66 | 5 | 62 | -1.2% |
| Wisconsin | $11 | $106 | 7 | 144 | -1.2% |
| Minnesota | $11 | $116 | 20 | 175 | -1.5% |
| North Dakota | $11 | $44 | 4 | 32 | -2.3% |
| Iowa | $11 | $63 | 6 | 30 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber