Analysis for antibody to rubella (german measles virus)
Medicare pricing data for 642 providers across 37 states
This procedure has a 5.8x markup — hospitals charge $81.14 but Medicare allows only $14.06. Uninsured patients may face bills 5.8 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 rubella (german measles virus) (HCPCS code 86762) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.06, but hospitals typically charge $81.14 — a 5.8x 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 $14.06, your out-of-pocket cost would be approximately $2.81. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $14.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $14 | $84 | 2 | 136 | +0.3% |
| Iowa | $14 | $41 | 8 | 18 | +0.3% |
| Kansas | $14 | $82 | 5 | 324 | +0.3% |
| Louisiana | $14 | $45 | 4 | 11 | +0.3% |
| Maryland | $14 | $73 | 14 | 261 | +0.3% |
| Massachusetts | $14 | $76 | 68 | 555 | +0.3% |
| Nevada | $14 | $73 | 6 | 72 | +0.3% |
| New Mexico | $14 | $47 | 2 | 21 | +0.3% |
| Oklahoma | $14 | $60 | 5 | 82 | +0.3% |
| Pennsylvania | $14 | $64 | 14 | 274 | +0.3% |
| Rhode Island | $14 | $31 | 2 | 13 | +0.3% |
| South Dakota | $14 | $89 | 2 | 23 | +0.3% |
| Tennessee | $14 | $67 | 6 | 59 | +0.3% |
| Texas | $14 | $83 | 32 | 607 | +0.3% |
| Utah | $14 | $28 | 4 | 16 | +0.3% |
| Puerto Rico | $14 | $18 | 8 | 14 | +0.3% |
| Arizona | $14 | $93 | 6 | 243 | +0.3% |
| Colorado | $14 | $95 | 5 | 105 | +0.3% |
| Connecticut | $14 | $49 | 15 | 42 | +0.3% |
| New York | $14 | $88 | 102 | 2,213 | +0.2% |
| New Jersey | $14 | $81 | 52 | 5,568 | +0.1% |
| California | $14 | $84 | 49 | 4,413 | 0.0% |
| North Carolina | $14 | $87 | 16 | 1,259 | -0.1% |
| Minnesota | $14 | $84 | 47 | 184 | -0.2% |
| Florida | $14 | $88 | 13 | 598 | -0.3% |
| Ohio | $14 | $77 | 17 | 345 | -0.3% |
| Alabama | $14 | $85 | 6 | 225 | -0.3% |
| Illinois | $14 | $70 | 33 | 275 | -0.4% |
| Michigan | $14 | $37 | 7 | 44 | -1.0% |
| Hawaii | $14 | $37 | 2 | 40 | -1.3% |
| Wisconsin | $14 | $62 | 10 | 121 | -1.3% |
| Oregon | $14 | $38 | 16 | 45 | -1.9% |
| Virginia | $14 | $45 | 9 | 112 | -2.1% |
| Maine | $14 | $34 | 10 | 32 | -2.2% |
| Washington | $14 | $61 | 13 | 241 | -2.2% |
| Kentucky | $13 | $47 | 4 | 22 | -4.3% |
| Indiana | $13 | $44 | 6 | 26 | -7.0% |
⚠️ 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