Detection of gliadin (deamidated) (dgp) antibody
Medicare pricing data for 552 providers across 35 states
This procedure has a 8.8x markup — hospitals charge $103.71 but Medicare allows only $11.79. Uninsured patients may face bills 8.8 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
Detection of gliadin (deamidated) (dgp) antibody (HCPCS code 86258) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.79, but hospitals typically charge $103.71 — a 8.8x 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 $11.79, 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 8.8x more than what Medicare allows for this procedure. Medicare actually pays $11.79 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Mississippi | $12 | $39 | 3 | 121 | +5.9% |
| Florida | $12 | $123 | 10 | 3,939 | +0.2% |
| Georgia | $12 | $127 | 1 | 1,493 | +0.2% |
| Hawaii | $12 | $77 | 2 | 96 | +0.2% |
| Indiana | $12 | $112 | 2 | 32 | +0.2% |
| Iowa | $12 | $56 | 5 | 100 | +0.2% |
| Kansas | $12 | $126 | 8 | 909 | +0.2% |
| Massachusetts | $12 | $122 | 5 | 2,089 | +0.2% |
| Michigan | $12 | $97 | 6 | 295 | +0.2% |
| Missouri | $12 | $31 | 11 | 24 | +0.2% |
| Nebraska | $12 | $33 | 2 | 93 | +0.2% |
| Nevada | $12 | $127 | 1 | 170 | +0.2% |
| New Mexico | $12 | $38 | 1 | 693 | +0.2% |
| Oregon | $12 | $50 | 3 | 362 | +0.2% |
| South Carolina | $12 | $31 | 2 | 52 | +0.2% |
| Tennessee | $12 | $81 | 4 | 435 | +0.2% |
| Colorado | $12 | $117 | 6 | 813 | +0.2% |
| Illinois | $12 | $75 | 119 | 1,602 | +0.1% |
| New Jersey | $12 | $115 | 34 | 20,262 | +0.1% |
| New York | $12 | $61 | 39 | 5,369 | +0.1% |
| North Carolina | $12 | $109 | 11 | 20,082 | +0.1% |
| Texas | $12 | $132 | 81 | 8,902 | +0.1% |
| Maryland | $12 | $90 | 6 | 886 | 0.0% |
| Minnesota | $12 | $131 | 51 | 554 | 0.0% |
| South Dakota | $12 | $51 | 2 | 542 | 0.0% |
| Virginia | $12 | $37 | 7 | 993 | 0.0% |
| Ohio | $12 | $84 | 10 | 3,917 | -0.1% |
| Washington | $12 | $86 | 20 | 3,752 | -0.1% |
| Pennsylvania | $12 | $112 | 8 | 519 | -0.2% |
| Arizona | $12 | $116 | 4 | 4,809 | -0.2% |
| California | $12 | $80 | 20 | 8,059 | -0.2% |
| Utah | $12 | $36 | 37 | 390 | -0.3% |
| Alabama | $12 | $107 | 3 | 3,450 | -0.3% |
| Oklahoma | $12 | $81 | 4 | 822 | -0.5% |
| Wisconsin | $12 | $94 | 11 | 353 | -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