86747

Analysis for antibody to parvovirus

Medicare pricing data for 123 providers across 22 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $101.21 but Medicare allows only $14.64. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 parvovirus (HCPCS code 86747) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.64, but hospitals typically charge $101.21 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.93

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.64, your out-of-pocket cost would be approximately $2.93. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$14.64
Average Hospital Charge
$101.21
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$101.21
Medicare Allowed$14.64
Medicare Payment$14.64

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $14.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$15$1154555+0.6%
Georgia$15$1071500+0.6%
Illinois$15$1062157+0.6%
Kansas$15$106393+0.6%
Maryland$15$94337+0.6%
Minnesota$15$116661+0.6%
Ohio$15$1075124+0.6%
Pennsylvania$15$876122+0.6%
Tennessee$15$183278+0.6%
Texas$15$1108524+0.6%
Utah$15$32356+0.6%
Washington$15$103362+0.6%
Wisconsin$15$82323+0.6%
Arizona$15$1073197+0.6%
Colorado$15$109458+0.6%
North Carolina$15$11461,276+0.4%
New York$15$967581+0.3%
California$15$10410877+0.1%
Massachusetts$15$10542200.0%
New Jersey$15$9192,841-0.8%
Alabama$14$101267-2.2%
Virginia$14$22456-2.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber