Mechanical separation of plasma from blood
Medicare pricing data for 1,568 providers across 40 states
This procedure has a 12.0x markup — hospitals charge $1,333 but Medicare allows only $110.83. Uninsured patients may face bills 12.0 times higher than what insurance negotiates. Prices vary significantly by location — from $80 in South Carolina to $413 in Nevada. Where you get this procedure matters more than almost any other factor. 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
Mechanical separation of plasma from blood (HCPCS code 36514) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $110.83, but hospitals typically charge $1,333 — a 12.0x 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 $110.83, your out-of-pocket cost would be approximately $22.17. 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 12.0x more than what Medicare allows for this procedure. Medicare actually pays $87.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Nevada | $413 | $6,371 | 14 | 827 | +272.6% |
| New Jersey | $222 | $1,129 | 34 | 242 | +100.6% |
| New York | $161 | $1,305 | 84 | 1,432 | +45.1% |
| District of Columbia | $101 | $946 | 9 | 58 | -8.5% |
| Florida | $101 | $671 | 86 | 1,105 | -9.0% |
| Maryland | $97 | $481 | 18 | 251 | -12.6% |
| Connecticut | $97 | $1,652 | 28 | 291 | -12.7% |
| California | $96 | $1,842 | 153 | 3,023 | -13.2% |
| Massachusetts | $96 | $737 | 36 | 523 | -13.3% |
| Illinois | $94 | $689 | 54 | 531 | -15.5% |
| Michigan | $94 | $585 | 36 | 585 | -15.5% |
| Virginia | $93 | $1,800 | 56 | 571 | -16.4% |
| Pennsylvania | $91 | $1,361 | 63 | 1,362 | -17.7% |
| Oregon | $91 | $333 | 34 | 199 | -17.8% |
| Colorado | $91 | $1,047 | 42 | 213 | -17.8% |
| Louisiana | $90 | $1,147 | 23 | 333 | -18.4% |
| Washington | $90 | $994 | 13 | 107 | -18.7% |
| Utah | $90 | $1,795 | 11 | 108 | -18.7% |
| Texas | $90 | $728 | 117 | 2,007 | -18.9% |
| Minnesota | $90 | $1,297 | 60 | 307 | -19.0% |
| New Mexico | $89 | $1,492 | 4 | 135 | -19.3% |
| Georgia | $89 | $1,566 | 33 | 458 | -19.4% |
| South Dakota | $89 | $206 | 9 | 54 | -19.7% |
| New Hampshire | $89 | $689 | 6 | 68 | -19.9% |
| Ohio | $89 | $556 | 54 | 987 | -20.1% |
| Arizona | $88 | $435 | 34 | 380 | -20.2% |
| Rhode Island | $88 | $1,542 | 2 | 54 | -20.3% |
| Missouri | $88 | $1,662 | 42 | 451 | -20.3% |
| Kentucky | $88 | $1,016 | 22 | 127 | -20.7% |
| Alabama | $87 | $397 | 22 | 208 | -21.2% |
| North Carolina | $87 | $1,074 | 88 | 527 | -21.6% |
| Iowa | $87 | $785 | 9 | 185 | -21.8% |
| Mississippi | $87 | $1,321 | 11 | 27 | -21.9% |
| Kansas | $86 | $353 | 7 | 265 | -22.3% |
| Nebraska | $85 | $1,052 | 15 | 206 | -23.0% |
| Arkansas | $85 | $1,378 | 15 | 412 | -23.1% |
| Indiana | $82 | $1,200 | 40 | 382 | -25.6% |
| Wisconsin | $82 | $1,126 | 38 | 883 | -25.9% |
| Tennessee | $82 | $745 | 56 | 408 | -26.0% |
| South Carolina | $80 | $461 | 18 | 380 | -27.9% |
⚠️ 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