Red blood count, automated test
Medicare pricing data for 4,405 providers across 49 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $4 | $8 | 3 | 54 | +0.3% |
| Georgia | $4 | $41 | 45 | 8,206 | +0.3% |
| Idaho | $4 | $17 | 11 | 48 | +0.3% |
| Illinois | $4 | $43 | 228 | 10,717 | +0.3% |
| Kansas | $4 | $45 | 35 | 6,184 | +0.3% |
| Massachusetts | $4 | $36 | 260 | 6,329 | +0.3% |
| Missouri | $4 | $43 | 42 | 2,769 | +0.3% |
| Montana | $4 | $36 | 3 | 53 | +0.3% |
| New Hampshire | $4 | $23 | 22 | 80 | +0.3% |
| New Jersey | $4 | $33 | 57 | 56,235 | +0.3% |
| New York | $4 | $36 | 316 | 15,517 | +0.3% |
| North Dakota | $4 | $16 | 8 | 114 | +0.3% |
| Rhode Island | $4 | $22 | 5 | 782 | +0.3% |
| Wyoming | $4 | $42 | 8 | 28 | +0.3% |
| Puerto Rico | $4 | $5 | 44 | 123 | +0.3% |
| Florida | $4 | $31 | 340 | 39,378 | 0.0% |
| Hawaii | $4 | $15 | 2 | 1,902 | 0.0% |
| Kentucky | $4 | $17 | 12 | 958 | 0.0% |
| Maine | $4 | $18 | 40 | 423 | 0.0% |
| Maryland | $4 | $34 | 24 | 3,461 | 0.0% |
| Michigan | $4 | $16 | 40 | 2,413 | 0.0% |
| Minnesota | $4 | $29 | 554 | 4,219 | 0.0% |
| Nebraska | $4 | $10 | 41 | 1,015 | 0.0% |
| Nevada | $4 | $34 | 54 | 3,684 | 0.0% |
| New Mexico | $4 | $6 | 13 | 424 | 0.0% |
| North Carolina | $4 | $35 | 126 | 27,925 | 0.0% |
| Ohio | $4 | $31 | 135 | 11,694 | 0.0% |
| Oklahoma | $4 | $35 | 33 | 3,003 | 0.0% |
| Oregon | $4 | $22 | 24 | 1,529 | 0.0% |
| Pennsylvania | $4 | $40 | 32 | 3,837 | 0.0% |
| Texas | $4 | $36 | 403 | 26,954 | 0.0% |
| Virginia | $4 | $27 | 102 | 3,188 | 0.0% |
| Washington | $4 | $36 | 122 | 4,719 | 0.0% |
| Wisconsin | $4 | $43 | 88 | 754 | 0.0% |
| Arizona | $4 | $31 | 82 | 11,574 | 0.0% |
| California | $4 | $38 | 125 | 41,331 | 0.0% |
| Colorado | $4 | $29 | 53 | 2,960 | 0.0% |
| Connecticut | $4 | $19 | 64 | 925 | 0.0% |
| Iowa | $4 | $14 | 68 | 688 | -0.3% |
| South Carolina | $4 | $27 | 31 | 1,854 | -0.3% |
| Tennessee | $4 | $26 | 361 | 8,416 | -0.3% |
| Utah | $4 | $18 | 73 | 639 | -0.3% |
| Arkansas | $4 | $15 | 62 | 777 | -0.3% |
| Indiana | $4 | $32 | 38 | 1,520 | -0.5% |
| Louisiana | $4 | $25 | 47 | 963 | -0.5% |
| South Dakota | $4 | $27 | 5 | 78 | -0.8% |
| Alabama | $4 | $28 | 72 | 11,925 | -1.0% |
| Mississippi | $4 | $29 | 29 | 706 | -2.3% |
| Alaska | $4 | $28 | 11 | 56 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber