Quantitative measurement of severe acute respiratory syndrome coronavirus 2 (covid-19] antibody
Medicare pricing data for 34 providers across 10 states
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
Quantitative measurement of severe acute respiratory syndrome coronavirus 2 (covid-19] antibody (HCPCS code 86413) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.02, but hospitals typically charge $66.54 — a 1.5x 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 $43.02, your out-of-pocket cost would be approximately $8.60. 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 1.5x more than what Medicare allows for this procedure. Medicare actually pays $43.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $50 | $55 | 1 | 1,837 | +17.2% |
| Kentucky | $50 | $72 | 7 | 50 | +15.2% |
| Arizona | $49 | $150 | 2 | 768 | +14.8% |
| Alabama | $49 | $148 | 1 | 468 | +14.1% |
| Virginia | $42 | $103 | 5 | 1,295 | -3.3% |
| Florida | $41 | $55 | 2 | 875 | -4.0% |
| Pennsylvania | $41 | $42 | 1 | 905 | -4.0% |
| Arkansas | $41 | $84 | 1 | 90 | -4.0% |
| Texas | $41 | $55 | 11 | 9,230 | -4.0% |
| South Carolina | $41 | $103 | 1 | 234 | -4.9% |
⚠️ 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