Screening test for red blood cell antibodies
Medicare pricing data for 557 providers across 39 states
This procedure has a 7.3x markup — hospitals charge $69.62 but Medicare allows only $9.55. Uninsured patients may face bills 7.3 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
Screening test for red blood cell antibodies (HCPCS code 86850) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.55, but hospitals typically charge $69.62 — a 7.3x 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 $9.55, your out-of-pocket cost would be approximately $1.91. 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 7.3x more than what Medicare allows for this procedure. Medicare actually pays $9.55 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $11 | $30 | 2 | 24 | +10.8% |
| Minnesota | $10 | $79 | 164 | 5,401 | +0.7% |
| Hawaii | $10 | $30 | 3 | 557 | +0.2% |
| Idaho | $10 | $36 | 2 | 13 | +0.2% |
| Indiana | $10 | $42 | 10 | 97 | +0.2% |
| Kansas | $10 | $55 | 5 | 505 | +0.2% |
| Kentucky | $10 | $15 | 4 | 21 | +0.2% |
| Louisiana | $10 | $29 | 6 | 102 | +0.2% |
| Maine | $10 | $48 | 3 | 457 | +0.2% |
| Massachusetts | $10 | $53 | 18 | 185 | +0.2% |
| Nebraska | $10 | $27 | 3 | 39 | +0.2% |
| Nevada | $10 | $51 | 6 | 101 | +0.2% |
| New Mexico | $10 | $89 | 1 | 111 | +0.2% |
| North Dakota | $10 | $86 | 5 | 124 | +0.2% |
| South Dakota | $10 | $59 | 4 | 23 | +0.2% |
| Tennessee | $10 | $49 | 4 | 69 | +0.2% |
| Utah | $10 | $28 | 6 | 45 | +0.2% |
| Alabama | $10 | $62 | 8 | 399 | +0.2% |
| Arizona | $10 | $66 | 5 | 467 | +0.2% |
| Colorado | $10 | $48 | 6 | 86 | +0.2% |
| Connecticut | $10 | $69 | 4 | 331 | +0.2% |
| New Jersey | $10 | $50 | 11 | 2,916 | +0.1% |
| Oklahoma | $10 | $51 | 5 | 489 | +0.1% |
| Pennsylvania | $10 | $52 | 8 | 1,636 | +0.1% |
| Florida | $10 | $89 | 13 | 4,859 | 0.0% |
| New York | $10 | $138 | 10 | 1,286 | 0.0% |
| North Carolina | $10 | $53 | 10 | 1,072 | 0.0% |
| California | $10 | $47 | 71 | 4,775 | 0.0% |
| Texas | $10 | $50 | 21 | 1,196 | -0.1% |
| Virginia | $10 | $145 | 4 | 3,736 | -0.1% |
| Michigan | $10 | $43 | 10 | 200 | -0.2% |
| Ohio | $10 | $33 | 15 | 1,727 | -0.2% |
| Maryland | $10 | $38 | 7 | 1,986 | -0.3% |
| Oregon | $10 | $32 | 10 | 194 | -0.3% |
| Mississippi | $10 | $36 | 5 | 241 | -0.5% |
| Iowa | $9 | $37 | 25 | 188 | -0.7% |
| Wisconsin | $9 | $50 | 27 | 1,956 | -0.8% |
| Washington | $9 | $53 | 10 | 293 | -2.8% |
| Illinois | $9 | $53 | 8 | 385 | -3.1% |
⚠️ 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