White blood cell count
Medicare pricing data for 383 providers across 33 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
White blood cell count (HCPCS code 85004) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.30, but hospitals typically charge $27.93 — a 4.4x 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 $6.30, your out-of-pocket cost would be approximately $1.26. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $6.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $6 | $30 | 14 | 1,955 | +0.6% |
| Georgia | $6 | $19 | 4 | 310 | +0.6% |
| Illinois | $6 | $18 | 10 | 1,019 | +0.6% |
| Iowa | $6 | $26 | 22 | 388 | +0.6% |
| Kansas | $6 | $18 | 5 | 378 | +0.6% |
| Maryland | $6 | $29 | 3 | 69 | +0.6% |
| Massachusetts | $6 | $29 | 18 | 3,060 | +0.6% |
| Michigan | $6 | $7 | 2 | 455 | +0.6% |
| Missouri | $6 | $13 | 5 | 208 | +0.6% |
| Nevada | $6 | $19 | 3 | 509 | +0.6% |
| New Hampshire | $6 | $24 | 1 | 178 | +0.6% |
| North Dakota | $6 | $33 | 5 | 104 | +0.6% |
| Oklahoma | $6 | $22 | 3 | 59 | +0.6% |
| Pennsylvania | $6 | $15 | 6 | 985 | +0.6% |
| Virginia | $6 | $20 | 4 | 17 | +0.6% |
| Arkansas | $6 | $12 | 4 | 59 | +0.6% |
| Colorado | $6 | $16 | 4 | 1,027 | +0.6% |
| New Jersey | $6 | $26 | 8 | 1,211 | +0.5% |
| Texas | $6 | $27 | 10 | 889 | +0.5% |
| California | $6 | $21 | 18 | 889 | +0.5% |
| Puerto Rico | $6 | $8 | 6 | 217 | +0.3% |
| South Dakota | $6 | $26 | 31 | 1,481 | +0.2% |
| Tennessee | $6 | $8 | 7 | 192 | +0.2% |
| Mississippi | $6 | $50 | 33 | 3,763 | 0.0% |
| Washington | $6 | $23 | 16 | 128 | -0.2% |
| Indiana | $6 | $50 | 2 | 121 | -0.3% |
| Minnesota | $6 | $41 | 74 | 793 | -0.8% |
| North Carolina | $6 | $21 | 3 | 490 | -0.8% |
| Ohio | $6 | $24 | 7 | 149 | -1.1% |
| Arizona | $6 | $11 | 3 | 1,326 | -2.5% |
| Alabama | $6 | $23 | 3 | 98 | -3.7% |
| New York | $6 | $9 | 4 | 238 | -4.1% |
| Wisconsin | $6 | $47 | 31 | 599 | -6.5% |
⚠️ 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