Measurement of actin (smooth muscle) antibody
Medicare pricing data for 262 providers across 38 states
This procedure has a 9.5x markup — hospitals charge $112.69 but Medicare allows only $11.80. Uninsured patients may face bills 9.5 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
Measurement of actin (smooth muscle) antibody (HCPCS code 86015) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.80, but hospitals typically charge $112.69 — a 9.5x 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 $11.80, your out-of-pocket cost would be approximately $2.36. 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 9.5x more than what Medicare allows for this procedure. Medicare actually pays $11.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $12 | $121 | 1 | 1,653 | +0.1% |
| Illinois | $12 | $136 | 7 | 734 | +0.1% |
| Indiana | $12 | $109 | 2 | 70 | +0.1% |
| Kansas | $12 | $111 | 7 | 1,194 | +0.1% |
| Louisiana | $12 | $118 | 1 | 15 | +0.1% |
| Maine | $12 | $52 | 2 | 38 | +0.1% |
| Maryland | $12 | $112 | 3 | 413 | +0.1% |
| Massachusetts | $12 | $95 | 5 | 1,074 | +0.1% |
| Nevada | $12 | $117 | 1 | 428 | +0.1% |
| New Hampshire | $12 | $71 | 9 | 12 | +0.1% |
| New Mexico | $12 | $67 | 2 | 93 | +0.1% |
| North Dakota | $12 | $47 | 1 | 18 | +0.1% |
| Oklahoma | $12 | $98 | 4 | 446 | +0.1% |
| Pennsylvania | $12 | $134 | 4 | 623 | +0.1% |
| South Carolina | $12 | $55 | 2 | 15 | +0.1% |
| South Dakota | $12 | $42 | 2 | 55 | +0.1% |
| Tennessee | $12 | $178 | 2 | 417 | +0.1% |
| Texas | $12 | $117 | 29 | 5,920 | +0.1% |
| Utah | $12 | $38 | 5 | 92 | +0.1% |
| Colorado | $12 | $116 | 5 | 448 | +0.1% |
| Florida | $12 | $126 | 10 | 5,120 | 0.0% |
| New Jersey | $12 | $114 | 9 | 7,039 | 0.0% |
| Ohio | $12 | $97 | 9 | 2,244 | 0.0% |
| Virginia | $12 | $42 | 4 | 454 | 0.0% |
| Washington | $12 | $93 | 8 | 888 | 0.0% |
| Alabama | $12 | $109 | 2 | 2,080 | 0.0% |
| North Carolina | $12 | $107 | 9 | 9,465 | -0.1% |
| Arizona | $12 | $99 | 3 | 3,307 | -0.1% |
| California | $12 | $112 | 30 | 4,934 | -0.1% |
| Minnesota | $12 | $169 | 39 | 646 | -0.2% |
| Hawaii | $12 | $66 | 2 | 271 | -0.7% |
| New York | $12 | $220 | 6 | 633 | -0.8% |
| Oregon | $12 | $52 | 2 | 83 | -0.8% |
| Mississippi | $12 | $42 | 3 | 74 | -1.6% |
| Wisconsin | $12 | $85 | 9 | 449 | -1.8% |
| Puerto Rico | $12 | $12 | 4 | 25 | -1.8% |
| Iowa | $11 | $68 | 5 | 67 | -2.7% |
| Michigan | $11 | $89 | 3 | 47 | -5.8% |
⚠️ 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