88346

Antibody evaluation, initial single antibody stain procedure

Medicare pricing data for 1,904 providers across 44 states

🤖AI Overview

Prices vary significantly by location — from $34 in Nebraska to $158 in Maine. Where you get this procedure matters more than almost any other factor. 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

Antibody evaluation, initial single antibody stain procedure (HCPCS code 88346) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.53, but hospitals typically charge $194.87 — a 2.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.31

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.53, your out-of-pocket cost would be approximately $17.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.53
Average Hospital Charge
$194.87
Markup Ratio
2.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$194.87
Medicare Allowed$86.53
Medicare Payment$68.28

Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $68.28 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maine$158$254246+82.6%
Colorado$120$19612121+38.9%
Florida$117$172815,157+35.0%
Kentucky$112$152689+29.6%
Arizona$108$204459,412+25.2%
Hawaii$107$17215132+24.0%
New Mexico$104$550564+19.9%
Massachusetts$101$2181252,889+16.9%
New York$99$2141443,587+13.9%
Connecticut$98$19517678+13.3%
Utah$96$220271,169+11.4%
Texas$94$2151763,274+8.2%
California$88$2111865,225+2.3%
Oregon$87$17422470+0.6%
Maryland$87$21627524+0.4%
Missouri$84$22341666-3.5%
Wisconsin$83$48245814-4.3%
Ohio$82$187812,113-4.7%
Virginia$82$14328542-5.6%
Georgia$76$17524419-11.7%
Washington$76$138761,113-12.6%
Tennessee$72$145521,317-16.6%
Pennsylvania$71$275802,240-17.5%
Alabama$71$17636534-17.7%
Indiana$69$14232476-20.2%
North Carolina$67$175421,017-22.8%
District of Columbia$67$14711233-23.0%
Mississippi$65$1461088-24.9%
Oklahoma$60$1648445-30.8%
Minnesota$60$1611072,896-30.8%
South Carolina$59$20212517-32.0%
Michigan$58$19050605-32.8%
Illinois$55$218821,285-36.6%
New Hampshire$54$2801296-38.1%
Arkansas$51$111424,436-40.5%
Louisiana$49$19043332-43.0%
Kansas$49$16416191-43.1%
Iowa$49$23822314-43.5%
North Dakota$48$154268-44.6%
Rhode Island$45$2041075-48.1%
New Jersey$37$16311227-57.2%
Montana$35$104346-59.6%
Vermont$35$183680-60.1%
Nebraska$34$9210205-61.2%

⚠️ 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