Analysis for antibody to mumps virus
Medicare pricing data for 462 providers across 33 states
This procedure has a 8.1x markup — hospitals charge $102.79 but Medicare allows only $12.75. Uninsured patients may face bills 8.1 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
Analysis for antibody to mumps virus (HCPCS code 86735) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.75, but hospitals typically charge $102.79 — a 8.1x 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 $12.75, your out-of-pocket cost would be approximately $2.55. 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 8.1x more than what Medicare allows for this procedure. Medicare actually pays $12.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $13 | $136 | 2 | 120 | +0.3% |
| Indiana | $13 | $111 | 1 | 21 | +0.3% |
| Kansas | $13 | $125 | 5 | 194 | +0.3% |
| Maryland | $13 | $113 | 14 | 211 | +0.3% |
| Massachusetts | $13 | $122 | 51 | 467 | +0.3% |
| Nevada | $13 | $102 | 2 | 68 | +0.3% |
| New Mexico | $13 | $37 | 1 | 11 | +0.3% |
| New York | $13 | $105 | 83 | 2,116 | +0.3% |
| Oklahoma | $13 | $113 | 3 | 32 | +0.3% |
| Oregon | $13 | $50 | 5 | 23 | +0.3% |
| Pennsylvania | $13 | $91 | 10 | 214 | +0.3% |
| Rhode Island | $13 | $39 | 2 | 13 | +0.3% |
| South Dakota | $13 | $79 | 2 | 11 | +0.3% |
| Tennessee | $13 | $73 | 3 | 34 | +0.3% |
| Texas | $13 | $102 | 25 | 447 | +0.3% |
| Utah | $13 | $28 | 2 | 11 | +0.3% |
| Washington | $13 | $64 | 7 | 110 | +0.3% |
| Alabama | $13 | $82 | 3 | 72 | +0.3% |
| Arizona | $13 | $98 | 4 | 166 | +0.3% |
| Colorado | $13 | $97 | 6 | 73 | +0.3% |
| Connecticut | $13 | $70 | 12 | 19 | +0.3% |
| California | $13 | $103 | 35 | 2,661 | +0.2% |
| Florida | $13 | $124 | 12 | 436 | -0.2% |
| New Jersey | $13 | $105 | 54 | 5,417 | -0.2% |
| North Carolina | $13 | $85 | 6 | 933 | -0.2% |
| Ohio | $13 | $77 | 16 | 242 | -0.5% |
| Illinois | $13 | $109 | 19 | 214 | -0.6% |
| Hawaii | $13 | $36 | 2 | 50 | -0.9% |
| Minnesota | $13 | $141 | 16 | 142 | -0.9% |
| Michigan | $13 | $47 | 6 | 23 | -1.6% |
| Wisconsin | $13 | $95 | 10 | 92 | -1.6% |
| Virginia | $13 | $46 | 6 | 99 | -1.6% |
| Maine | $12 | $51 | 10 | 27 | -2.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber