Red blood cell antibody detection test, direct
Medicare pricing data for 314 providers across 39 states
This procedure has a 8.5x markup — hospitals charge $44.55 but Medicare allows only $5.27. Uninsured patients may face bills 8.5 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
Red blood cell antibody detection test, direct (HCPCS code 86880) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.27, but hospitals typically charge $44.55 — a 8.5x 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 $5.27, your out-of-pocket cost would be approximately $1.05. 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 8.5x more than what Medicare allows for this procedure. Medicare actually pays $5.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $5 | $50 | 11 | 5,017 | +0.2% |
| Georgia | $5 | $44 | 4 | 23 | +0.2% |
| Hawaii | $5 | $21 | 2 | 179 | +0.2% |
| Indiana | $5 | $51 | 5 | 83 | +0.2% |
| Kansas | $5 | $46 | 6 | 854 | +0.2% |
| Kentucky | $5 | $37 | 2 | 16 | +0.2% |
| Louisiana | $5 | $28 | 4 | 15 | +0.2% |
| Maine | $5 | $11 | 2 | 115 | +0.2% |
| Massachusetts | $5 | $34 | 5 | 450 | +0.2% |
| Minnesota | $5 | $48 | 46 | 498 | +0.2% |
| Nevada | $5 | $41 | 3 | 279 | +0.2% |
| New Jersey | $5 | $40 | 13 | 9,002 | +0.2% |
| New Mexico | $5 | $138 | 1 | 71 | +0.2% |
| New York | $5 | $125 | 8 | 1,205 | +0.2% |
| North Dakota | $5 | $63 | 2 | 79 | +0.2% |
| Ohio | $5 | $42 | 9 | 1,034 | +0.2% |
| Oklahoma | $5 | $45 | 3 | 398 | +0.2% |
| Oregon | $5 | $27 | 2 | 113 | +0.2% |
| Rhode Island | $5 | $22 | 2 | 13 | +0.2% |
| South Carolina | $5 | $47 | 6 | 12 | +0.2% |
| Utah | $5 | $17 | 1 | 22 | +0.2% |
| Virginia | $5 | $54 | 5 | 190 | +0.2% |
| Washington | $5 | $49 | 7 | 392 | +0.2% |
| Wisconsin | $5 | $40 | 5 | 268 | +0.2% |
| Puerto Rico | $5 | $6 | 24 | 42 | +0.2% |
| Connecticut | $5 | $45 | 2 | 39 | +0.2% |
| Maryland | $5 | $41 | 8 | 1,063 | 0.0% |
| North Carolina | $5 | $44 | 8 | 3,184 | 0.0% |
| Tennessee | $5 | $31 | 3 | 330 | 0.0% |
| Texas | $5 | $28 | 16 | 4,000 | 0.0% |
| Alabama | $5 | $42 | 6 | 679 | 0.0% |
| Arizona | $5 | $45 | 3 | 1,339 | 0.0% |
| California | $5 | $45 | 27 | 2,411 | 0.0% |
| Illinois | $5 | $48 | 10 | 521 | -0.2% |
| Colorado | $5 | $48 | 7 | 94 | -0.2% |
| Pennsylvania | $5 | $52 | 6 | 515 | -0.4% |
| Mississippi | $5 | $42 | 3 | 31 | -0.6% |
| Iowa | $5 | $26 | 17 | 148 | -0.9% |
| Michigan | $5 | $17 | 10 | 104 | -1.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber