Analysis for antibody to protozoa (parasite)
Medicare pricing data for 150 providers across 24 states
This procedure has a 7.9x markup — hospitals charge $95.24 but Medicare allows only $12.12. Uninsured patients may face bills 7.9 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 protozoa (parasite) (HCPCS code 86753) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.12, but hospitals typically charge $95.24 — a 7.9x 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 $12.12, your out-of-pocket cost would be approximately $2.42. 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 7.9x more than what Medicare allows for this procedure. Medicare actually pays $12.12 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $12 | $103 | 1 | 543 | +0.2% |
| Illinois | $12 | $121 | 1 | 599 | +0.2% |
| Kansas | $12 | $102 | 3 | 1,621 | +0.2% |
| Maryland | $12 | $96 | 3 | 441 | +0.2% |
| Massachusetts | $12 | $93 | 4 | 7,288 | +0.2% |
| Oklahoma | $12 | $103 | 3 | 99 | +0.2% |
| Rhode Island | $12 | $25 | 1 | 243 | +0.2% |
| Tennessee | $12 | $114 | 3 | 47 | +0.2% |
| Utah | $12 | $31 | 3 | 19 | +0.2% |
| Virginia | $12 | $67 | 4 | 148 | +0.2% |
| Washington | $12 | $114 | 3 | 32 | +0.2% |
| Wisconsin | $12 | $78 | 8 | 80 | +0.2% |
| Arizona | $12 | $112 | 3 | 79 | +0.2% |
| California | $12 | $67 | 18 | 8,060 | +0.2% |
| Connecticut | $12 | $89 | 2 | 25 | +0.2% |
| New York | $12 | $93 | 9 | 3,478 | +0.1% |
| Minnesota | $12 | $106 | 6 | 531 | 0.0% |
| North Carolina | $12 | $140 | 5 | 3,957 | 0.0% |
| Pennsylvania | $12 | $88 | 5 | 622 | 0.0% |
| Texas | $12 | $116 | 10 | 424 | 0.0% |
| Florida | $12 | $90 | 4 | 678 | -0.1% |
| New Jersey | $12 | $98 | 15 | 21,837 | -0.2% |
| Alabama | $12 | $135 | 3 | 88 | -0.5% |
| Ohio | $12 | $114 | 8 | 208 | -0.7% |
⚠️ 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