86334

Immunologic analysis technique on serum (immunofixation)

Medicare pricing data for 3,670 providers across 51 states

🤖AI Overview

This procedure has a 6.0x markup — hospitals charge $120.39 but Medicare allows only $19.96. Uninsured patients may face bills 6.0 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

Immunologic analysis technique on serum (immunofixation) (HCPCS code 86334) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.96, but hospitals typically charge $120.39 — a 6.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.99

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.96, your out-of-pocket cost would be approximately $3.99. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.96
Average Hospital Charge
$120.39
Markup Ratio
6.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$120.39
Medicare Allowed$19.96
Medicare Payment$18.03

Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $18.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$22$90131+9.7%
Puerto Rico$22$2597268+9.5%
Nevada$22$178395,278+9.4%
New Mexico$22$16761,274+8.9%
New Jersey$21$15117299,884+7.6%
Arizona$21$1383614,347+6.3%
California$21$15116773,965+4.4%
Colorado$21$134658,112+3.7%
New York$21$13026462,598+3.2%
Georgia$20$1698322,099+2.3%
Kansas$20$1673211,126+2.2%
Washington$20$1064911,138+2.2%
Virginia$20$11711319,777+1.6%
Maryland$20$127389,861+1.5%
Tennessee$20$7611516,286+1.2%
North Carolina$20$1058754,342+1.1%
Texas$20$11628184,525+1.0%
Alabama$20$946519,586+0.2%
Florida$20$126208132,000+0.1%
Hawaii$20$70151,914-0.5%
Oklahoma$20$116204,066-2.1%
South Dakota$19$9122708-3.0%
Massachusetts$19$1098348,230-3.3%
Ohio$19$8715844,270-4.1%
Nebraska$19$52163,385-4.5%
District of Columbia$19$566269-4.7%
Oregon$19$54424,227-5.4%
Pennsylvania$19$11613621,277-5.7%
Maine$19$61113,834-5.9%
Rhode Island$19$65102,009-6.2%
Connecticut$19$97285,196-6.7%
Illinois$19$12617329,860-6.8%
Wisconsin$19$1306713,767-7.0%
Minnesota$18$794056,767-7.4%
North Dakota$18$82112,460-8.7%
Indiana$18$78565,664-9.6%
Michigan$18$9211519,696-10.1%
Louisiana$18$133212,460-11.1%
Delaware$18$823364-11.4%
Iowa$18$80768,601-11.6%
West Virginia$18$795291-11.9%
Montana$18$485151-12.2%
New Hampshire$17$1524855-12.6%
Kentucky$17$62255,529-12.8%
Missouri$17$74555,627-12.9%
Utah$17$76344,072-13.3%
Arkansas$17$514210,323-13.4%
Vermont$17$88122,238-13.7%
Mississippi$17$102391,594-14.2%
Idaho$17$3719885-14.3%
South Carolina$17$70323,249-14.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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