85045

Red blood count, automated test

Medicare pricing data for 4,405 providers across 49 states

🤖AI Overview

This procedure has a 8.6x markup — hospitals charge $33.67 but Medicare allows only $3.90. Uninsured patients may face bills 8.6 times higher than what insurance negotiates. 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, automated test (HCPCS code 85045) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.90, but hospitals typically charge $33.67 — a 8.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.90, your out-of-pocket cost would be approximately $0.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.90
Average Hospital Charge
$33.67
Markup Ratio
8.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$33.67
Medicare Allowed$3.90
Medicare Payment$3.90

Hospitals charge 8.6x more than what Medicare allows for this procedure. Medicare actually pays $3.90 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$4$8354+0.3%
Georgia$4$41458,206+0.3%
Idaho$4$171148+0.3%
Illinois$4$4322810,717+0.3%
Kansas$4$45356,184+0.3%
Massachusetts$4$362606,329+0.3%
Missouri$4$43422,769+0.3%
Montana$4$36353+0.3%
New Hampshire$4$232280+0.3%
New Jersey$4$335756,235+0.3%
New York$4$3631615,517+0.3%
North Dakota$4$168114+0.3%
Rhode Island$4$225782+0.3%
Wyoming$4$42828+0.3%
Puerto Rico$4$544123+0.3%
Florida$4$3134039,3780.0%
Hawaii$4$1521,9020.0%
Kentucky$4$17129580.0%
Maine$4$18404230.0%
Maryland$4$34243,4610.0%
Michigan$4$16402,4130.0%
Minnesota$4$295544,2190.0%
Nebraska$4$10411,0150.0%
Nevada$4$34543,6840.0%
New Mexico$4$6134240.0%
North Carolina$4$3512627,9250.0%
Ohio$4$3113511,6940.0%
Oklahoma$4$35333,0030.0%
Oregon$4$22241,5290.0%
Pennsylvania$4$40323,8370.0%
Texas$4$3640326,9540.0%
Virginia$4$271023,1880.0%
Washington$4$361224,7190.0%
Wisconsin$4$43887540.0%
Arizona$4$318211,5740.0%
California$4$3812541,3310.0%
Colorado$4$29532,9600.0%
Connecticut$4$19649250.0%
Iowa$4$1468688-0.3%
South Carolina$4$27311,854-0.3%
Tennessee$4$263618,416-0.3%
Utah$4$1873639-0.3%
Arkansas$4$1562777-0.3%
Indiana$4$32381,520-0.5%
Louisiana$4$2547963-0.5%
South Dakota$4$27578-0.8%
Alabama$4$287211,925-1.0%
Mississippi$4$2929706-2.3%
Alaska$4$281156-4.1%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber