85044

Red blood count, manual test

Medicare pricing data for 910 providers across 25 states

🤖AI Overview

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 count, manual test (HCPCS code 85044) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.21, but hospitals typically charge $18.89 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.21, your out-of-pocket cost would be approximately $0.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.21
Average Hospital Charge
$18.89
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$18.89
Medicare Allowed$4.21
Medicare Payment$4.21

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $4.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$4$131886,907+0.2%
Illinois$4$257223+0.2%
Kentucky$4$252198+0.2%
Louisiana$4$112114+0.2%
Massachusetts$4$152128+0.2%
Nebraska$4$129148+0.2%
Ohio$4$16262+0.2%
Virginia$4$232404+0.2%
Wisconsin$4$4723139+0.2%
California$4$27809,362+0.2%
Colorado$4$18315+0.2%
Georgia$4$19321,2570.0%
Oregon$4$31262010.0%
Pennsylvania$4$1394330.0%
Puerto Rico$4$5993450.0%
Indiana$4$301429-0.2%
New York$4$1616417,749-0.2%
New Jersey$4$23109467-0.5%
South Carolina$4$22142,239-0.5%
West Virginia$4$1211107-0.7%
Texas$4$1260554-1.0%
Washington$4$32768-1.0%
Alabama$4$151030-1.2%
Missouri$4$151114-1.4%
Arkansas$4$120928-2.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber