Measurement of antibody for rheumatoid arthritis assessment
Medicare pricing data for 2,955 providers across 48 states
This procedure has a 8.5x markup — hospitals charge $106.91 but Medicare allows only $12.63. Uninsured patients may face bills 8.5 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 antibody for rheumatoid arthritis assessment (HCPCS code 86200) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.63, but hospitals typically charge $106.91 — a 8.5x 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 $12.63, your out-of-pocket cost would be approximately $2.53. 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 8.5x more than what Medicare allows for this procedure. Medicare actually pays $12.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $13 | $133 | 183 | 5,791 | +0.5% |
| New Hampshire | $13 | $47 | 26 | 175 | +0.5% |
| Rhode Island | $13 | $58 | 5 | 176 | +0.5% |
| Wyoming | $13 | $65 | 8 | 30 | +0.5% |
| Alaska | $13 | $87 | 7 | 17 | +0.5% |
| Florida | $13 | $125 | 89 | 28,408 | +0.4% |
| Georgia | $13 | $135 | 58 | 10,247 | +0.4% |
| Kansas | $13 | $134 | 18 | 7,090 | +0.4% |
| New Jersey | $13 | $117 | 108 | 40,313 | +0.4% |
| New York | $13 | $130 | 102 | 13,309 | +0.4% |
| Puerto Rico | $13 | $14 | 133 | 488 | +0.4% |
| Colorado | $13 | $100 | 15 | 1,671 | +0.4% |
| Illinois | $13 | $129 | 180 | 8,146 | +0.3% |
| Nevada | $13 | $138 | 4 | 1,995 | +0.3% |
| South Dakota | $13 | $92 | 6 | 517 | +0.3% |
| North Carolina | $13 | $101 | 129 | 29,104 | +0.2% |
| Ohio | $13 | $85 | 132 | 9,823 | +0.2% |
| Arizona | $13 | $100 | 97 | 13,059 | +0.2% |
| Hawaii | $13 | $48 | 2 | 915 | +0.2% |
| Maryland | $13 | $79 | 66 | 4,394 | +0.2% |
| Minnesota | $13 | $109 | 354 | 4,641 | +0.2% |
| Texas | $13 | $102 | 247 | 31,425 | +0.2% |
| Alabama | $13 | $92 | 38 | 7,135 | +0.2% |
| Maine | $13 | $99 | 2 | 230 | +0.1% |
| New Mexico | $13 | $36 | 8 | 856 | +0.1% |
| Pennsylvania | $13 | $112 | 43 | 3,821 | +0.1% |
| Idaho | $13 | $68 | 15 | 476 | -0.1% |
| Oklahoma | $13 | $101 | 59 | 3,908 | -0.1% |
| District of Columbia | $13 | $43 | 5 | 118 | -0.2% |
| Tennessee | $13 | $69 | 49 | 3,075 | -0.2% |
| Utah | $13 | $27 | 111 | 687 | -0.2% |
| Virginia | $13 | $44 | 16 | 1,806 | -0.2% |
| Nebraska | $13 | $44 | 9 | 443 | -0.2% |
| Washington | $13 | $80 | 89 | 4,110 | -0.2% |
| Kentucky | $13 | $42 | 40 | 1,709 | -0.3% |
| Missouri | $13 | $44 | 95 | 924 | -0.3% |
| South Carolina | $13 | $42 | 38 | 1,191 | -0.3% |
| Connecticut | $13 | $81 | 3 | 128 | -0.3% |
| Oregon | $13 | $57 | 14 | 1,248 | -0.4% |
| Indiana | $13 | $39 | 31 | 1,024 | -0.5% |
| Louisiana | $13 | $42 | 50 | 836 | -0.6% |
| North Dakota | $13 | $55 | 10 | 72 | -0.6% |
| Iowa | $13 | $53 | 40 | 1,244 | -0.6% |
| Wisconsin | $13 | $102 | 38 | 2,220 | -0.9% |
| Arkansas | $13 | $67 | 50 | 945 | -1.0% |
| California | $12 | $109 | 79 | 43,645 | -1.2% |
| Mississippi | $12 | $100 | 24 | 666 | -1.3% |
| Michigan | $12 | $53 | 19 | 1,204 | -1.4% |
⚠️ 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