87340

Detection test by immunoassay technique for hepatitis b surface antigen

Medicare pricing data for 3,176 providers across 49 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $70.94 but Medicare allows only $10.09. Uninsured patients may face bills 7.0 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

Detection test by immunoassay technique for hepatitis b surface antigen (HCPCS code 87340) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.09, but hospitals typically charge $70.94 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $10.09, your out-of-pocket cost would be approximately $2.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$10.09
Average Hospital Charge
$70.94
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$70.94
Medicare Allowed$10.09
Medicare Payment$10.09

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $10.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$10$28264+0.3%
Georgia$10$86166,885+0.3%
Louisiana$10$6724165+0.3%
Montana$10$53518+0.3%
New Hampshire$10$2927112+0.3%
New Mexico$10$45323+0.3%
West Virginia$10$61456+0.3%
Alaska$10$91813+0.3%
Illinois$10$691877,310+0.2%
Kansas$10$85185,112+0.2%
Maryland$10$78623,913+0.2%
Massachusetts$10$6041112,731+0.2%
New Jersey$10$735141,806+0.2%
Texas$10$7320528,814+0.2%
Nevada$10$86152,342+0.1%
New York$10$6841212,697+0.1%
North Carolina$10$7512226,163+0.1%
South Dakota$10$5424410+0.1%
Colorado$10$83151,889+0.1%
Michigan$10$30531,6780.0%
Ohio$10$651006,5740.0%
Pennsylvania$10$59253,7480.0%
Arizona$10$765210,9660.0%
Hawaii$10$3821,887-0.1%
Virginia$10$43522,010-0.1%
Puerto Rico$10$1159155-0.1%
Idaho$10$4510121-0.2%
Missouri$10$2755226-0.2%
Alabama$10$70196,833-0.2%
California$10$7416847,560-0.2%
Connecticut$10$4922308-0.2%
Kentucky$10$2911381-0.3%
Minnesota$10$681832,112-0.3%
Oklahoma$10$50473,034-0.3%
Oregon$10$37571,604-0.3%
Florida$10$757326,188-0.4%
South Carolina$10$5925634-0.5%
Washington$10$702156,931-0.5%
Iowa$10$4465327-0.6%
Maine$10$3219314-0.6%
Tennessee$10$62482,034-0.6%
Rhode Island$10$405245-0.7%
Utah$10$2136353-0.7%
North Dakota$10$748246-1.0%
Nebraska$10$238289-1.1%
Indiana$10$3826138-1.7%
Wisconsin$10$6450464-2.8%
Arkansas$10$273374-4.5%
Mississippi$10$4423490-5.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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