85048

Automated white blood cell count

Medicare pricing data for 1,198 providers across 41 states

🤖AI Overview

This procedure has a 6.7x markup — hospitals charge $16.66 but Medicare allows only $2.47. Uninsured patients may face bills 6.7 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

Automated white blood cell count (HCPCS code 85048) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.47, but hospitals typically charge $16.66 — a 6.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.49

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.47, your out-of-pocket cost would be approximately $0.49. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.47
Average Hospital Charge
$16.66
Markup Ratio
6.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$16.66
Medicare Allowed$2.47
Medicare Payment$2.47

Hospitals charge 6.7x more than what Medicare allows for this procedure. Medicare actually pays $2.47 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
South Dakota$3$18241,113+1.6%
Florida$2$9362,823+0.8%
Georgia$2$118222+0.8%
Hawaii$2$82106+0.8%
Illinois$2$10381,291+0.8%
Kansas$2$910362+0.8%
Kentucky$2$9518+0.8%
Louisiana$2$141061+0.8%
Maryland$2$98126+0.8%
Massachusetts$2$8612,664+0.8%
Mississippi$2$159110+0.8%
Missouri$2$58235+0.8%
Nevada$2$84359+0.8%
New Hampshire$2$94190+0.8%
New York$2$1125839+0.8%
North Dakota$2$2211148+0.8%
Oklahoma$2$9264+0.8%
Oregon$2$21643+0.8%
Rhode Island$2$23218+0.8%
South Carolina$2$2918113+0.8%
Washington$2$1713209+0.8%
Wyoming$2$64680+0.8%
Puerto Rico$2$324276+0.8%
Colorado$2$771,079+0.8%
Iowa$2$989815+0.4%
Michigan$2$917137+0.4%
New Jersey$2$7114,874+0.4%
Pennsylvania$2$33122,606+0.4%
Tennessee$2$719242+0.4%
Texas$2$1622673+0.4%
Virginia$2$931337+0.4%
California$2$17572,810+0.4%
North Carolina$2$24792,2980.0%
Ohio$2$22225470.0%
Minnesota$2$11259871-0.8%
Arizona$2$1051,864-1.6%
Alabama$2$1912257-2.0%
Wisconsin$2$421873,397-2.4%
Connecticut$2$21825-2.4%
Indiana$2$31522-3.2%
Arkansas$2$6722-24.7%

⚠️ 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