Red blood cell count, automated test
Medicare pricing data for 217 providers across 26 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
Red blood cell count, automated test (HCPCS code 85041) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.94, but hospitals typically charge $12.73 — a 4.3x 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 $2.94, your out-of-pocket cost would be approximately $0.59. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $2.94 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $3 | $11 | 2 | 468 | +0.7% |
| Illinois | $3 | $10 | 6 | 216 | +0.7% |
| Kansas | $3 | $10 | 3 | 267 | +0.7% |
| Louisiana | $3 | $7 | 4 | 25 | +0.7% |
| Maryland | $3 | $10 | 5 | 393 | +0.7% |
| Massachusetts | $3 | $12 | 4 | 230 | +0.7% |
| Minnesota | $3 | $11 | 19 | 25 | +0.7% |
| Missouri | $3 | $5 | 3 | 97 | +0.7% |
| Nevada | $3 | $13 | 2 | 139 | +0.7% |
| Oregon | $3 | $29 | 2 | 31 | +0.7% |
| Pennsylvania | $3 | $15 | 7 | 91 | +0.7% |
| Virginia | $3 | $33 | 5 | 28 | +0.7% |
| Washington | $3 | $29 | 5 | 64 | +0.7% |
| Wisconsin | $3 | $10 | 2 | 45 | +0.7% |
| Puerto Rico | $3 | $4 | 5 | 254 | +0.7% |
| Florida | $3 | $10 | 10 | 1,348 | +0.3% |
| New Jersey | $3 | $11 | 7 | 3,223 | +0.3% |
| New York | $3 | $7 | 6 | 427 | +0.3% |
| Texas | $3 | $15 | 11 | 609 | +0.3% |
| California | $3 | $15 | 29 | 1,776 | +0.3% |
| North Carolina | $3 | $26 | 4 | 1,407 | 0.0% |
| Ohio | $3 | $13 | 9 | 736 | -0.7% |
| Colorado | $3 | $16 | 3 | 77 | -0.7% |
| Arizona | $3 | $6 | 3 | 1,378 | -2.4% |
| Alabama | $3 | $18 | 33 | 209 | -2.7% |
| Arkansas | $3 | $5 | 4 | 71 | -7.1% |
⚠️ 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