Antibody identification test for white blood cell antibodies
Medicare pricing data for 204 providers across 25 states
This procedure has a 19.1x markup — hospitals charge $281.44 but Medicare allows only $14.73. Uninsured patients may face bills 19.1 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
Antibody identification test for white blood cell antibodies (HCPCS code 86021) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.73, but hospitals typically charge $281.44 — a 19.1x 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 $14.73, your out-of-pocket cost would be approximately $2.95. 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 19.1x more than what Medicare allows for this procedure. Medicare actually pays $14.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $15 | $273 | 20 | 7,514 | +0.1% |
| Georgia | $15 | $304 | 3 | 2,407 | +0.1% |
| Hawaii | $15 | $162 | 2 | 36 | +0.1% |
| Illinois | $15 | $308 | 8 | 1,505 | +0.1% |
| Indiana | $15 | $84 | 3 | 74 | +0.1% |
| Kansas | $15 | $301 | 4 | 1,296 | +0.1% |
| Maine | $15 | $31 | 1 | 27 | +0.1% |
| Maryland | $15 | $266 | 6 | 695 | +0.1% |
| Massachusetts | $15 | $316 | 3 | 1,534 | +0.1% |
| Nevada | $15 | $309 | 2 | 702 | +0.1% |
| New Jersey | $15 | $304 | 10 | 7,890 | +0.1% |
| North Carolina | $15 | $245 | 7 | 562 | +0.1% |
| Oklahoma | $15 | $284 | 6 | 510 | +0.1% |
| Pennsylvania | $15 | $340 | 4 | 754 | +0.1% |
| South Carolina | $15 | $74 | 2 | 62 | +0.1% |
| Utah | $15 | $142 | 3 | 20 | +0.1% |
| Virginia | $15 | $298 | 6 | 132 | +0.1% |
| Washington | $15 | $305 | 6 | 437 | +0.1% |
| Colorado | $15 | $285 | 3 | 217 | +0.1% |
| Texas | $15 | $285 | 16 | 3,390 | +0.1% |
| California | $15 | $288 | 28 | 6,842 | +0.1% |
| Arizona | $15 | $298 | 3 | 2,830 | -0.2% |
| New York | $15 | $164 | 19 | 3,010 | -0.7% |
| Ohio | $15 | $170 | 6 | 197 | -0.7% |
| Alabama | $13 | $33 | 5 | 17 | -10.9% |
⚠️ 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