Red blood count automated, with additional calculations
Medicare pricing data for 1,537 providers across 38 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 count automated, with additional calculations (HCPCS code 85046) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.44, but hospitals typically charge $23.81 — 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 $5.44, your out-of-pocket cost would be approximately $1.09. 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 $5.44 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $6 | $20 | 10 | 44 | +4.2% |
| Florida | $5 | $21 | 239 | 11,279 | +0.4% |
| Kansas | $5 | $19 | 13 | 376 | +0.4% |
| Louisiana | $5 | $10 | 4 | 181 | +0.4% |
| Massachusetts | $5 | $25 | 20 | 58 | +0.4% |
| New Mexico | $5 | $29 | 2 | 644 | +0.4% |
| South Dakota | $5 | $34 | 9 | 163 | +0.4% |
| Arizona | $5 | $32 | 3 | 371 | +0.4% |
| Colorado | $5 | $21 | 14 | 96 | +0.4% |
| Connecticut | $5 | $55 | 6 | 135 | +0.4% |
| Minnesota | $5 | $30 | 80 | 2,414 | +0.2% |
| New York | $5 | $26 | 74 | 5,506 | +0.2% |
| North Carolina | $5 | $29 | 73 | 1,198 | +0.2% |
| California | $5 | $20 | 51 | 13,993 | +0.2% |
| Maine | $5 | $17 | 18 | 253 | 0.0% |
| Michigan | $5 | $15 | 33 | 461 | 0.0% |
| Missouri | $5 | $27 | 46 | 358 | 0.0% |
| Virginia | $5 | $29 | 74 | 4,475 | 0.0% |
| Iowa | $5 | $20 | 52 | 978 | -0.2% |
| Kentucky | $5 | $34 | 3 | 123 | -0.2% |
| Ohio | $5 | $15 | 15 | 692 | -0.2% |
| Oregon | $5 | $21 | 50 | 363 | -0.2% |
| Tennessee | $5 | $28 | 52 | 693 | -0.2% |
| Texas | $5 | $28 | 326 | 7,636 | -0.2% |
| New Jersey | $5 | $19 | 4 | 105 | -0.4% |
| Utah | $5 | $9 | 5 | 101 | -0.4% |
| Alabama | $5 | $18 | 42 | 6,624 | -0.4% |
| Washington | $5 | $15 | 53 | 1,482 | -0.6% |
| Indiana | $5 | $37 | 21 | 291 | -0.7% |
| North Dakota | $5 | $25 | 4 | 264 | -0.7% |
| Arkansas | $5 | $17 | 23 | 1,187 | -0.7% |
| Wisconsin | $5 | $52 | 24 | 1,509 | -0.9% |
| Alaska | $5 | $46 | 17 | 90 | -0.9% |
| Illinois | $5 | $31 | 24 | 998 | -1.1% |
| Pennsylvania | $5 | $32 | 20 | 2,817 | -1.1% |
| Nebraska | $5 | $14 | 21 | 351 | -1.3% |
| Mississippi | $5 | $25 | 5 | 42 | -6.3% |
| Nevada | $5 | $11 | 1 | 33 | -11.8% |
⚠️ 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