Blood typing for red blood cell antigens
Medicare pricing data for 86 providers across 15 states
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
Blood typing for red blood cell antigens (HCPCS code 86905) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.75, but hospitals typically charge $6.78 — a 1.8x 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 $3.75, your out-of-pocket cost would be approximately $0.75. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $3.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $4 | $86 | 13 | 60 | +1.3% |
| Minnesota | $4 | $68 | 9 | 231 | +0.8% |
| Florida | $4 | $103 | 4 | 209 | 0.0% |
| Illinois | $4 | $5 | 2 | 36,682 | 0.0% |
| Maryland | $4 | $35 | 5 | 70 | 0.0% |
| Massachusetts | $4 | $39 | 2 | 21 | 0.0% |
| New Jersey | $4 | $88 | 3 | 29 | 0.0% |
| New Mexico | $4 | $77 | 1 | 11 | 0.0% |
| New York | $4 | $35 | 2 | 72 | 0.0% |
| North Carolina | $4 | $102 | 2 | 57 | 0.0% |
| Ohio | $4 | $23 | 4 | 92 | 0.0% |
| Texas | $4 | $59 | 6 | 42 | 0.0% |
| Virginia | $4 | $11 | 2 | 31 | 0.0% |
| Alabama | $4 | $94 | 3 | 18 | 0.0% |
| Arizona | $4 | $95 | 2 | 35 | 0.0% |
⚠️ 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