Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid
Medicare pricing data for 533 providers across 41 states
This procedure has a 6.0x markup — hospitals charge $105.80 but Medicare allows only $17.73. 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
Analysis for antibody to epstein-barr virus (mononucleosis virus), viral capsid (HCPCS code 86665) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.73, but hospitals typically charge $105.80 — a 6.0x 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 $17.73, your out-of-pocket cost would be approximately $3.55. 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 6.0x more than what Medicare allows for this procedure. Medicare actually pays $17.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $18 | $133 | 1 | 1,343 | +0.3% |
| Kansas | $18 | $126 | 6 | 1,312 | +0.3% |
| Louisiana | $18 | $60 | 17 | 142 | +0.3% |
| Maryland | $18 | $131 | 5 | 563 | +0.3% |
| Massachusetts | $18 | $126 | 38 | 1,376 | +0.3% |
| Michigan | $18 | $47 | 10 | 201 | +0.3% |
| New Mexico | $18 | $144 | 1 | 135 | +0.3% |
| North Dakota | $18 | $51 | 3 | 37 | +0.3% |
| South Carolina | $18 | $37 | 3 | 47 | +0.3% |
| Tennessee | $18 | $94 | 3 | 591 | +0.3% |
| Colorado | $18 | $109 | 7 | 384 | +0.3% |
| Nebraska | $18 | $30 | 1 | 50 | +0.2% |
| Rhode Island | $18 | $39 | 2 | 92 | +0.2% |
| Puerto Rico | $18 | $21 | 16 | 41 | +0.2% |
| New York | $18 | $83 | 41 | 6,910 | +0.2% |
| New Jersey | $18 | $103 | 49 | 16,123 | +0.1% |
| Pennsylvania | $18 | $122 | 7 | 819 | +0.1% |
| Texas | $18 | $96 | 52 | 5,616 | +0.1% |
| Washington | $18 | $126 | 8 | 935 | +0.1% |
| California | $18 | $118 | 32 | 6,599 | +0.1% |
| Illinois | $18 | $132 | 20 | 1,310 | 0.0% |
| North Carolina | $18 | $102 | 13 | 7,264 | 0.0% |
| Florida | $18 | $135 | 20 | 5,733 | -0.1% |
| Oklahoma | $18 | $98 | 5 | 405 | -0.2% |
| Arizona | $18 | $97 | 5 | 3,078 | -0.2% |
| Nevada | $18 | $130 | 3 | 315 | -0.3% |
| Ohio | $18 | $93 | 28 | 2,683 | -0.3% |
| Oregon | $18 | $55 | 4 | 244 | -0.4% |
| Hawaii | $18 | $66 | 2 | 300 | -0.6% |
| Alabama | $18 | $110 | 8 | 1,413 | -0.7% |
| Minnesota | $18 | $146 | 37 | 398 | -0.9% |
| Wisconsin | $17 | $125 | 7 | 317 | -1.9% |
| Kentucky | $17 | $60 | 2 | 94 | -2.0% |
| Missouri | $17 | $84 | 10 | 21 | -2.1% |
| Utah | $17 | $28 | 19 | 155 | -2.5% |
| Iowa | $17 | $59 | 6 | 83 | -2.7% |
| South Dakota | $17 | $81 | 3 | 93 | -2.7% |
| Virginia | $17 | $55 | 5 | 320 | -3.3% |
| Connecticut | $17 | $72 | 13 | 54 | -4.1% |
| Indiana | $17 | $89 | 5 | 78 | -4.3% |
| Maine | $17 | $78 | 4 | 57 | -5.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber