Hepatitis b core antibody measurement
Medicare pricing data for 1,827 providers across 47 states
This procedure has a 7.1x markup — hospitals charge $83.65 but Medicare allows only $11.79. Uninsured patients may face bills 7.1 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
Hepatitis b core antibody measurement (HCPCS code 86704) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.79, but hospitals typically charge $83.65 — a 7.1x 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 7.1x 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 |
|---|---|---|---|---|---|
| Delaware | $12 | $31 | 2 | 56 | +0.2% |
| Kentucky | $12 | $36 | 9 | 208 | +0.2% |
| New Mexico | $12 | $63 | 4 | 18 | +0.2% |
| West Virginia | $12 | $86 | 1 | 16 | +0.2% |
| Puerto Rico | $12 | $14 | 55 | 123 | +0.2% |
| Georgia | $12 | $98 | 13 | 4,788 | +0.1% |
| Illinois | $12 | $73 | 83 | 5,031 | +0.1% |
| Kansas | $12 | $98 | 11 | 3,691 | +0.1% |
| Maryland | $12 | $87 | 12 | 2,458 | +0.1% |
| Massachusetts | $12 | $67 | 369 | 10,198 | +0.1% |
| New Jersey | $12 | $87 | 30 | 30,440 | +0.1% |
| Florida | $12 | $79 | 51 | 23,027 | 0.0% |
| New York | $12 | $81 | 235 | 8,890 | 0.0% |
| North Carolina | $12 | $95 | 54 | 18,801 | 0.0% |
| Texas | $12 | $87 | 90 | 22,311 | 0.0% |
| California | $12 | $84 | 105 | 25,772 | 0.0% |
| Colorado | $12 | $103 | 11 | 1,428 | 0.0% |
| Michigan | $12 | $37 | 44 | 1,176 | -0.1% |
| Nevada | $12 | $98 | 6 | 1,953 | -0.1% |
| Ohio | $12 | $85 | 65 | 4,923 | -0.1% |
| Pennsylvania | $12 | $54 | 20 | 3,385 | -0.1% |
| Arizona | $12 | $93 | 24 | 8,140 | -0.1% |
| Nebraska | $12 | $42 | 3 | 244 | -0.2% |
| New Hampshire | $12 | $41 | 21 | 100 | -0.2% |
| South Dakota | $12 | $72 | 6 | 274 | -0.2% |
| Hawaii | $12 | $46 | 2 | 1,355 | -0.3% |
| Virginia | $12 | $51 | 20 | 1,125 | -0.3% |
| Tennessee | $12 | $92 | 19 | 1,083 | -0.3% |
| Alabama | $12 | $90 | 11 | 4,839 | -0.3% |
| Indiana | $12 | $54 | 9 | 41 | -0.4% |
| Oklahoma | $12 | $71 | 45 | 2,451 | -0.4% |
| Washington | $12 | $87 | 79 | 4,948 | -0.5% |
| Missouri | $12 | $35 | 32 | 146 | -0.6% |
| Minnesota | $12 | $92 | 72 | 1,693 | -0.7% |
| Maine | $12 | $37 | 5 | 290 | -0.8% |
| Oregon | $12 | $48 | 38 | 1,206 | -0.8% |
| Connecticut | $12 | $73 | 6 | 104 | -0.8% |
| South Carolina | $12 | $66 | 13 | 336 | -1.0% |
| Rhode Island | $12 | $44 | 5 | 187 | -1.2% |
| North Dakota | $12 | $77 | 4 | 165 | -1.5% |
| Louisiana | $12 | $79 | 15 | 53 | -1.7% |
| Alaska | $12 | $91 | 26 | 49 | -1.9% |
| Iowa | $12 | $65 | 7 | 115 | -2.2% |
| Wisconsin | $12 | $79 | 32 | 278 | -2.4% |
| Arkansas | $11 | $44 | 23 | 49 | -2.6% |
| Utah | $11 | $26 | 9 | 48 | -2.9% |
| Mississippi | $11 | $38 | 17 | 89 | -5.4% |
⚠️ 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