Analysis for antibody to rubeola (measles virus)
Medicare pricing data for 461 providers across 33 states
This procedure has a 8.0x markup — hospitals charge $100.97 but Medicare allows only $12.60. Uninsured patients may face bills 8.0 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 rubeola (measles virus) (HCPCS code 86765) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.60, but hospitals typically charge $100.97 — a 8.0x 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 $12.60, your out-of-pocket cost would be approximately $2.52. 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 8.0x more than what Medicare allows for this procedure. Medicare actually pays $12.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $13 | $139 | 2 | 103 | +0.2% |
| Illinois | $13 | $112 | 19 | 196 | +0.2% |
| Indiana | $13 | $75 | 1 | 14 | +0.2% |
| Kansas | $13 | $126 | 5 | 236 | +0.2% |
| Maryland | $13 | $117 | 14 | 226 | +0.2% |
| Massachusetts | $13 | $119 | 51 | 503 | +0.2% |
| Nevada | $13 | $107 | 3 | 58 | +0.2% |
| New Mexico | $13 | $72 | 1 | 11 | +0.2% |
| New York | $13 | $95 | 79 | 2,198 | +0.2% |
| Oklahoma | $13 | $101 | 3 | 31 | +0.2% |
| Oregon | $13 | $44 | 5 | 18 | +0.2% |
| Pennsylvania | $13 | $101 | 10 | 215 | +0.2% |
| Rhode Island | $13 | $43 | 2 | 16 | +0.2% |
| South Dakota | $13 | $83 | 2 | 11 | +0.2% |
| Tennessee | $13 | $72 | 3 | 82 | +0.2% |
| Texas | $13 | $112 | 23 | 421 | +0.2% |
| Washington | $13 | $66 | 8 | 110 | +0.2% |
| Puerto Rico | $13 | $15 | 6 | 11 | +0.2% |
| Alabama | $13 | $83 | 3 | 67 | +0.2% |
| Colorado | $13 | $96 | 5 | 72 | +0.2% |
| Connecticut | $13 | $57 | 12 | 22 | +0.2% |
| New Jersey | $13 | $105 | 53 | 5,413 | +0.1% |
| California | $13 | $97 | 40 | 3,527 | +0.1% |
| North Carolina | $13 | $87 | 7 | 1,041 | -0.2% |
| Arizona | $13 | $95 | 4 | 171 | -0.2% |
| Florida | $13 | $139 | 12 | 462 | -0.3% |
| Wisconsin | $13 | $104 | 10 | 93 | -0.8% |
| Ohio | $12 | $77 | 16 | 243 | -1.0% |
| Minnesota | $12 | $134 | 19 | 147 | -1.1% |
| Virginia | $12 | $32 | 6 | 104 | -1.7% |
| Maine | $12 | $50 | 10 | 30 | -2.5% |
| Hawaii | $12 | $50 | 2 | 36 | -3.5% |
| Michigan | $12 | $44 | 5 | 24 | -5.4% |
⚠️ 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