87350

Detection test by immunoassay technique for hepatitis be surface antigen

Medicare pricing data for 240 providers across 32 states

🤖AI Overview

This procedure has a 7.1x markup — hospitals charge $80.72 but Medicare allows only $11.29. Uninsured patients may face bills 7.1 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

Detection test by immunoassay technique for hepatitis be surface antigen (HCPCS code 87350) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.29, but hospitals typically charge $80.72 — a 7.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.26

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.29, your out-of-pocket cost would be approximately $2.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.29
Average Hospital Charge
$80.72
Markup Ratio
7.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$80.72
Medicare Allowed$11.29
Medicare Payment$11.29

Hospitals charge 7.1x more than what Medicare allows for this procedure. Medicare actually pays $11.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$11$9110789+0.1%
Georgia$11$973313+0.1%
Illinois$11$837250+0.1%
Iowa$11$44411+0.1%
Kansas$11$986180+0.1%
Kentucky$11$37212+0.1%
Massachusetts$11$933175+0.1%
Michigan$11$41324+0.1%
Minnesota$11$1115101+0.1%
Mississippi$11$80684+0.1%
Nevada$11$89370+0.1%
New Jersey$11$77175,001+0.1%
New Mexico$11$92318+0.1%
New York$11$112101,673+0.1%
Ohio$11$7610329+0.1%
Oklahoma$11$85590+0.1%
Pennsylvania$11$348594+0.1%
Rhode Island$11$43116+0.1%
Tennessee$11$67263+0.1%
Utah$11$25271+0.1%
Virginia$11$385158+0.1%
Arizona$11$776770+0.1%
Colorado$11$80675+0.1%
Texas$11$83112,0360.0%
North Carolina$11$82111,454-0.1%
Maryland$11$867252-0.3%
California$11$76483,167-0.4%
Washington$11$875190-0.4%
Alabama$11$755303-0.5%
Hawaii$11$58268-1.1%
Oregon$11$34426-1.2%
Wisconsin$11$76455-1.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber