Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies
Medicare pricing data for 3,069 providers across 48 states
This procedure has a 5.1x markup — hospitals charge $120.12 but Medicare allows only $23.55. Uninsured patients may face bills 5.1 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
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies (HCPCS code 87389) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.55, but hospitals typically charge $120.12 — a 5.1x 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 $23.55, your out-of-pocket cost would be approximately $4.71. 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 5.1x more than what Medicare allows for this procedure. Medicare actually pays $23.55 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $24 | $103 | 1 | 405 | +0.2% |
| Idaho | $24 | $65 | 6 | 18 | +0.2% |
| Montana | $24 | $63 | 3 | 28 | +0.2% |
| Nebraska | $24 | $45 | 11 | 148 | +0.2% |
| North Dakota | $24 | $93 | 9 | 44 | +0.2% |
| Utah | $24 | $45 | 31 | 188 | +0.2% |
| Vermont | $24 | $54 | 30 | 97 | +0.2% |
| Colorado | $24 | $148 | 11 | 1,358 | +0.2% |
| Massachusetts | $24 | $109 | 272 | 7,617 | +0.2% |
| Florida | $24 | $124 | 57 | 14,804 | +0.1% |
| Georgia | $24 | $110 | 26 | 4,492 | +0.1% |
| Kansas | $24 | $112 | 36 | 5,693 | +0.1% |
| Oklahoma | $24 | $70 | 10 | 2,528 | +0.1% |
| Pennsylvania | $24 | $101 | 24 | 2,412 | +0.1% |
| California | $24 | $116 | 75 | 32,692 | +0.1% |
| Maryland | $24 | $107 | 42 | 3,466 | +0.1% |
| New Jersey | $24 | $128 | 119 | 27,102 | +0.1% |
| Kentucky | $24 | $60 | 17 | 539 | +0.0% |
| North Carolina | $24 | $149 | 139 | 21,148 | +0.0% |
| Illinois | $24 | $115 | 158 | 5,429 | 0.0% |
| Nevada | $24 | $109 | 17 | 2,117 | 0.0% |
| New York | $24 | $131 | 490 | 5,537 | 0.0% |
| Arizona | $24 | $139 | 12 | 5,190 | 0.0% |
| Rhode Island | $24 | $64 | 5 | 355 | -0.0% |
| Texas | $24 | $120 | 223 | 14,918 | -0.0% |
| West Virginia | $24 | $134 | 6 | 309 | -0.0% |
| Alabama | $24 | $156 | 14 | 4,979 | -0.0% |
| Ohio | $24 | $131 | 19 | 6,752 | -0.1% |
| Iowa | $24 | $58 | 50 | 308 | -0.1% |
| Connecticut | $23 | $80 | 44 | 337 | -0.3% |
| Michigan | $23 | $70 | 25 | 2,130 | -0.3% |
| Washington | $23 | $84 | 54 | 3,778 | -0.3% |
| Louisiana | $23 | $120 | 18 | 395 | -0.4% |
| Wisconsin | $23 | $123 | 62 | 625 | -0.5% |
| Arkansas | $23 | $45 | 66 | 334 | -0.5% |
| Virginia | $23 | $74 | 67 | 1,165 | -0.5% |
| South Carolina | $23 | $102 | 29 | 373 | -0.6% |
| Missouri | $23 | $68 | 49 | 145 | -0.7% |
| Tennessee | $23 | $94 | 128 | 2,286 | -0.7% |
| Oregon | $23 | $47 | 48 | 961 | -0.7% |
| Indiana | $23 | $71 | 39 | 288 | -1.1% |
| South Dakota | $23 | $85 | 7 | 70 | -1.2% |
| New Mexico | $23 | $72 | 9 | 38 | -1.3% |
| Mississippi | $23 | $93 | 28 | 913 | -1.9% |
| Puerto Rico | $23 | $24 | 26 | 196 | -1.9% |
| Minnesota | $23 | $88 | 380 | 1,016 | -2.3% |
| Maine | $23 | $36 | 31 | 457 | -2.4% |
| Alaska | $23 | $194 | 31 | 75 | -2.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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