Analysis for antibody to varicella-zoster virus (chicken pox)
Medicare pricing data for 671 providers across 38 states
This procedure has a 8.7x markup — hospitals charge $109.59 but Medicare allows only $12.58. Uninsured patients may face bills 8.7 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 varicella-zoster virus (chicken pox) (HCPCS code 86787) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.58, but hospitals typically charge $109.59 — a 8.7x 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 $12.58, 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 8.7x more than what Medicare allows for this procedure. Medicare actually pays $12.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $13 | $144 | 3 | 577 | +0.3% |
| Illinois | $13 | $132 | 42 | 456 | +0.3% |
| Indiana | $13 | $67 | 1 | 48 | +0.3% |
| Iowa | $13 | $35 | 4 | 38 | +0.3% |
| Louisiana | $13 | $75 | 5 | 32 | +0.3% |
| Maryland | $13 | $117 | 20 | 536 | +0.3% |
| Mississippi | $13 | $99 | 5 | 16 | +0.3% |
| New Mexico | $13 | $65 | 1 | 33 | +0.3% |
| New York | $13 | $105 | 94 | 2,913 | +0.3% |
| Oregon | $13 | $50 | 8 | 103 | +0.3% |
| Pennsylvania | $13 | $107 | 11 | 370 | +0.3% |
| Rhode Island | $13 | $51 | 2 | 34 | +0.3% |
| South Carolina | $13 | $35 | 3 | 14 | +0.3% |
| Tennessee | $13 | $87 | 3 | 205 | +0.3% |
| Utah | $13 | $26 | 5 | 48 | +0.3% |
| Colorado | $13 | $104 | 6 | 290 | +0.3% |
| Kansas | $13 | $131 | 6 | 519 | +0.2% |
| Texas | $13 | $101 | 40 | 1,918 | +0.2% |
| North Carolina | $13 | $94 | 12 | 3,012 | +0.2% |
| Florida | $13 | $137 | 17 | 3,049 | +0.1% |
| Massachusetts | $13 | $133 | 61 | 853 | +0.1% |
| California | $13 | $110 | 35 | 4,275 | +0.1% |
| Michigan | $13 | $41 | 10 | 85 | 0.0% |
| Nevada | $13 | $115 | 2 | 176 | 0.0% |
| Washington | $13 | $93 | 13 | 260 | 0.0% |
| New Jersey | $13 | $114 | 56 | 7,811 | -0.1% |
| Ohio | $13 | $81 | 22 | 869 | -0.1% |
| Alabama | $13 | $97 | 7 | 552 | -0.3% |
| Hawaii | $13 | $55 | 2 | 78 | -0.4% |
| Minnesota | $13 | $127 | 63 | 550 | -0.4% |
| Oklahoma | $13 | $110 | 4 | 118 | -0.4% |
| Puerto Rico | $13 | $16 | 37 | 73 | -0.4% |
| Arizona | $13 | $99 | 4 | 714 | -0.6% |
| Wisconsin | $12 | $89 | 13 | 240 | -0.8% |
| Virginia | $12 | $38 | 8 | 243 | -1.5% |
| Connecticut | $12 | $60 | 14 | 31 | -1.5% |
| Maine | $12 | $55 | 11 | 41 | -1.6% |
| Kentucky | $12 | $55 | 3 | 53 | -5.0% |
⚠️ 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