Measurement of voltage-gated calcium channel antibody
Medicare pricing data for 117 providers across 30 states
This procedure has a 22.4x markup — hospitals charge $263.96 but Medicare allows only $11.80. Uninsured patients may face bills 22.4 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 voltage-gated calcium channel antibody (HCPCS code 86596) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.80, but hospitals typically charge $263.96 — a 22.4x 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 $11.80, 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 22.4x more than what Medicare allows for this procedure. Medicare actually pays $11.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $12 | $321 | 1 | 529 | +0.1% |
| Hawaii | $12 | $84 | 2 | 35 | +0.1% |
| Illinois | $12 | $314 | 2 | 418 | +0.1% |
| Indiana | $12 | $72 | 1 | 37 | +0.1% |
| Kansas | $12 | $312 | 2 | 390 | +0.1% |
| Maine | $12 | $361 | 1 | 13 | +0.1% |
| Maryland | $12 | $321 | 2 | 126 | +0.1% |
| Massachusetts | $12 | $354 | 3 | 466 | +0.1% |
| Minnesota | $12 | $205 | 11 | 475 | +0.1% |
| Nevada | $12 | $327 | 1 | 277 | +0.1% |
| New Hampshire | $12 | $39 | 1 | 13 | +0.1% |
| New Jersey | $12 | $293 | 6 | 1,376 | +0.1% |
| New York | $12 | $441 | 2 | 68 | +0.1% |
| North Carolina | $12 | $171 | 5 | 1,667 | +0.1% |
| Ohio | $12 | $166 | 5 | 86 | +0.1% |
| Oklahoma | $12 | $321 | 2 | 106 | +0.1% |
| Pennsylvania | $12 | $292 | 5 | 139 | +0.1% |
| South Dakota | $12 | $93 | 2 | 11 | +0.1% |
| Tennessee | $12 | $247 | 2 | 17 | +0.1% |
| Texas | $12 | $244 | 7 | 1,374 | +0.1% |
| Utah | $12 | $124 | 2 | 33 | +0.1% |
| Washington | $12 | $287 | 4 | 106 | +0.1% |
| Alabama | $12 | $151 | 2 | 50 | +0.1% |
| Arizona | $12 | $236 | 3 | 147 | +0.1% |
| Colorado | $12 | $266 | 3 | 50 | +0.1% |
| Florida | $12 | $304 | 6 | 1,205 | 0.0% |
| California | $12 | $300 | 15 | 1,114 | 0.0% |
| Wisconsin | $12 | $217 | 3 | 147 | -0.4% |
| Iowa | $12 | $171 | 2 | 91 | -0.7% |
| Virginia | $12 | $97 | 3 | 129 | -1.2% |
⚠️ 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