Indiana · 88350

Antibody Evaluation, Each Additional Single Antibody Stain Procedure in Indiana

Antibody Evaluation, Each Additional Single Antibody Stain Procedure in Indiana · the short answer

Medicare pays $41.55 on average for antibody evaluation, each additional single antibody stain procedure in Indiana, 14% below the $48.33 national average across all states.

$41.55
IN Medicare avg
$48.33
National Medicare avg
14% below
vs. national average

State and national averages are computed directly from CMS Medicare Physician & Other Practitioners claims data, 2023.

Indiana Medicare Avg
$41.55
14% below national avg
National Medicare Avg
$48.33
All states combined
Billed Charge (IN)
$116.78
What providers submit
Est. Commercial (IN)
$109.86
National avg: $112.32
Est. Cash / Self-Pay (IN)
$71.35
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

2.0K
Services in IN
29
Providers
$116.78
Avg Billed
$41.55
Medicare Avg

Top Providers in Indiana

Provider Medicare Services
Ameripath Indianapolis Pc $75.67 372
Cutaneous And Maxillofacial Pathology Laboratory, Pc $84.35 165
South Bend Medical Foundation, Inc $85.15 117

Indiana Pricing in Context

In Indiana, CPT code 88350 (Antibody Evaluation, Each Additional Single Antibody Stain Procedure) carries an average Medicare payment of $41.55 - 14% below the national benchmark of $48.33. 29 providers across the state submitted claims for this procedure in 2023, performing 2.0K total services. Payment ranges by individual claim are not published in this CMS extract; the state average above is the figure to compare against the national benchmark.

The average billed charge in Indiana is $116.78, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Indiana sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Immunology procedures, the estimated commercial insurance price in Indiana lands near $109.86, with self-pay cash prices typically around $71.35. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Antibody Evaluation, Each Additional Single Antibody Stain Procedure cost in Indiana?

The average Medicare payment for Antibody Evaluation, Each Additional Single Antibody Stain Procedure in Indiana is $41.55, which is 14% below the national average of $48.33. Providers in IN typically bill $116.78 for this procedure.

What does Antibody Evaluation, Each Additional Single Antibody Stain Procedure cost with insurance in Indiana?

With commercial insurance in Indiana, Antibody Evaluation, Each Additional Single Antibody Stain Procedure costs an estimated $109.86. Without insurance, the estimated cash price is $71.35. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Antibody Evaluation, Each Additional Single Antibody Stain Procedure in Indiana?

29 providers in Indiana billed Medicare for Antibody Evaluation, Each Additional Single Antibody Stain Procedure in 2023, performing 2.0K total services. The state Medicare average for this code is $41.55.

Is Antibody Evaluation, Each Additional Single Antibody Stain Procedure cheaper in Indiana than the national average?

Yes - Antibody Evaluation, Each Additional Single Antibody Stain Procedure costs 14% below the national average in Indiana. The state average Medicare payment is $41.55 compared to $48.33 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.