Measurement of dna antibody, native or double stranded
Medicare pricing data for 2,348 providers across 46 states
This procedure has a 6.9x markup — hospitals charge $93.08 but Medicare allows only $13.42. Uninsured patients may face bills 6.9 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 dna antibody, native or double stranded (HCPCS code 86225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.42, but hospitals typically charge $93.08 — a 6.9x 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 $13.42, your out-of-pocket cost would be approximately $2.68. 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 6.9x more than what Medicare allows for this procedure. Medicare actually pays $13.42 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $13 | $109 | 148 | 3,330 | +0.4% |
| New Hampshire | $13 | $53 | 10 | 95 | +0.4% |
| Rhode Island | $13 | $53 | 4 | 94 | +0.4% |
| Wyoming | $13 | $115 | 1 | 30 | +0.4% |
| Connecticut | $13 | $66 | 2 | 12 | +0.4% |
| New Jersey | $13 | $104 | 92 | 41,341 | +0.3% |
| New York | $13 | $95 | 189 | 15,828 | +0.3% |
| Colorado | $13 | $105 | 11 | 1,682 | +0.3% |
| Florida | $13 | $103 | 73 | 21,504 | +0.2% |
| Kansas | $13 | $109 | 38 | 5,113 | +0.2% |
| Nevada | $13 | $113 | 5 | 2,024 | +0.2% |
| California | $13 | $84 | 110 | 43,356 | +0.2% |
| Utah | $13 | $28 | 32 | 437 | +0.1% |
| Puerto Rico | $13 | $15 | 138 | 433 | +0.1% |
| Hawaii | $13 | $50 | 2 | 1,524 | 0.0% |
| New Mexico | $13 | $42 | 9 | 761 | 0.0% |
| North Carolina | $13 | $101 | 102 | 28,133 | 0.0% |
| Arizona | $13 | $76 | 97 | 12,512 | 0.0% |
| Ohio | $13 | $85 | 31 | 10,239 | -0.1% |
| Oregon | $13 | $42 | 9 | 527 | -0.1% |
| Pennsylvania | $13 | $77 | 40 | 4,121 | -0.1% |
| Texas | $13 | $104 | 185 | 28,375 | -0.1% |
| Illinois | $13 | $110 | 189 | 5,977 | -0.1% |
| South Dakota | $13 | $84 | 6 | 341 | -0.1% |
| Alabama | $13 | $90 | 39 | 8,809 | -0.1% |
| Idaho | $13 | $54 | 20 | 495 | -0.2% |
| Maryland | $13 | $79 | 36 | 2,362 | -0.2% |
| Oklahoma | $13 | $79 | 45 | 3,171 | -0.2% |
| Tennessee | $13 | $73 | 43 | 2,997 | -0.3% |
| Michigan | $13 | $36 | 13 | 1,234 | -0.4% |
| Kentucky | $13 | $44 | 31 | 1,081 | -0.4% |
| Missouri | $13 | $50 | 46 | 788 | -0.4% |
| Louisiana | $13 | $68 | 86 | 998 | -0.5% |
| Minnesota | $13 | $100 | 161 | 2,281 | -0.6% |
| Virginia | $13 | $41 | 14 | 2,017 | -0.6% |
| Georgia | $13 | $111 | 36 | 9,317 | -0.7% |
| Indiana | $13 | $71 | 25 | 1,132 | -0.7% |
| South Carolina | $13 | $46 | 41 | 983 | -0.7% |
| Arkansas | $13 | $49 | 65 | 1,773 | -0.8% |
| Iowa | $13 | $42 | 37 | 803 | -1.0% |
| Wisconsin | $13 | $118 | 27 | 1,858 | -1.1% |
| Nebraska | $13 | $58 | 8 | 414 | -1.7% |
| Maine | $13 | $45 | 2 | 154 | -2.2% |
| Washington | $13 | $73 | 17 | 3,316 | -3.5% |
| Mississippi | $13 | $74 | 14 | 82 | -3.9% |
| North Dakota | $13 | $62 | 9 | 78 | -6.6% |
⚠️ 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