Hepatitis c antibody measurement
Medicare pricing data for 5,984 providers across 51 states
This procedure has a 8.1x markup — hospitals charge $112.21 but Medicare allows only $13.92. 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
Hepatitis c antibody measurement (HCPCS code 86803) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.92, but hospitals typically charge $112.21 — 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 $13.92, your out-of-pocket cost would be approximately $2.78. 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 $13.92 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $14 | $26 | 4 | 52 | +0.4% |
| New Hampshire | $14 | $47 | 54 | 294 | +0.4% |
| New Mexico | $14 | $71 | 12 | 2,165 | +0.4% |
| Vermont | $14 | $67 | 29 | 121 | +0.4% |
| Wyoming | $14 | $55 | 22 | 64 | +0.4% |
| Kansas | $14 | $140 | 30 | 10,300 | +0.4% |
| Maryland | $14 | $124 | 76 | 6,663 | +0.4% |
| Massachusetts | $14 | $124 | 449 | 13,780 | +0.4% |
| Puerto Rico | $14 | $17 | 151 | 373 | +0.4% |
| Georgia | $14 | $146 | 54 | 11,538 | +0.3% |
| New Jersey | $14 | $114 | 71 | 69,681 | +0.3% |
| New York | $14 | $122 | 764 | 28,542 | +0.3% |
| Colorado | $14 | $99 | 48 | 3,049 | +0.3% |
| Kentucky | $14 | $47 | 15 | 363 | +0.2% |
| North Carolina | $14 | $97 | 355 | 43,624 | +0.2% |
| Pennsylvania | $14 | $113 | 42 | 7,325 | +0.2% |
| Rhode Island | $14 | $56 | 10 | 946 | +0.2% |
| Texas | $14 | $118 | 597 | 46,792 | +0.2% |
| Virginia | $14 | $49 | 148 | 11,032 | +0.2% |
| Arizona | $14 | $109 | 72 | 15,116 | +0.1% |
| Hawaii | $14 | $60 | 4 | 2,294 | +0.1% |
| Nevada | $14 | $145 | 18 | 3,167 | +0.1% |
| Utah | $14 | $32 | 44 | 263 | +0.1% |
| Illinois | $14 | $126 | 208 | 12,711 | 0.0% |
| Maine | $14 | $45 | 56 | 1,000 | 0.0% |
| Ohio | $14 | $89 | 127 | 11,459 | 0.0% |
| West Virginia | $14 | $78 | 7 | 237 | 0.0% |
| Louisiana | $14 | $57 | 93 | 1,197 | -0.1% |
| Michigan | $14 | $41 | 57 | 4,380 | -0.1% |
| Washington | $14 | $107 | 226 | 9,067 | -0.1% |
| Montana | $14 | $43 | 10 | 177 | -0.1% |
| Alabama | $14 | $94 | 21 | 9,513 | -0.1% |
| Florida | $14 | $131 | 151 | 32,431 | -0.2% |
| South Dakota | $14 | $100 | 31 | 480 | -0.2% |
| California | $14 | $130 | 193 | 101,127 | -0.2% |
| Iowa | $14 | $57 | 181 | 1,291 | -0.3% |
| Oregon | $14 | $55 | 107 | 2,530 | -0.4% |
| Nebraska | $14 | $46 | 32 | 586 | -0.4% |
| Oklahoma | $14 | $70 | 76 | 4,601 | -0.4% |
| Mississippi | $14 | $90 | 21 | 2,562 | -0.6% |
| Idaho | $14 | $36 | 18 | 91 | -0.6% |
| North Dakota | $14 | $87 | 15 | 280 | -0.6% |
| South Carolina | $14 | $81 | 109 | 3,963 | -0.8% |
| Connecticut | $14 | $73 | 85 | 761 | -0.8% |
| Indiana | $14 | $48 | 50 | 1,735 | -0.9% |
| Tennessee | $14 | $80 | 279 | 14,164 | -0.9% |
| Missouri | $14 | $46 | 119 | 585 | -1.1% |
| Minnesota | $14 | $86 | 436 | 2,498 | -1.2% |
| Alaska | $14 | $141 | 53 | 135 | -1.4% |
| Wisconsin | $14 | $113 | 94 | 4,021 | -1.4% |
| Arkansas | $14 | $35 | 47 | 171 | -2.0% |
⚠️ 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