85049

Platelet count, automated test

Medicare pricing data for 1,800 providers across 44 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

Platelet count, automated test (HCPCS code 85049) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.38, but hospitals typically charge $18.16 — a 4.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.88

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.38, your out-of-pocket cost would be approximately $0.88. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$4.38
Average Hospital Charge
$18.16
Markup Ratio
4.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$18.16
Medicare Allowed$4.38
Medicare Payment$4.38

Hospitals charge 4.1x more than what Medicare allows for this procedure. Medicare actually pays $4.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$4$1656472+0.2%
Indiana$4$19737+0.2%
Iowa$4$1729180+0.2%
Kansas$4$1414420+0.2%
Louisiana$4$1813118+0.2%
Maine$4$17520+0.2%
Massachusetts$4$1259557+0.2%
Mississippi$4$1913113+0.2%
Missouri$4$241337+0.2%
Nebraska$4$14922+0.2%
Nevada$4$115801+0.2%
New Hampshire$4$159144+0.2%
New Mexico$4$14219+0.2%
North Carolina$4$25361,723+0.2%
North Dakota$4$401936+0.2%
Oregon$4$171143+0.2%
Rhode Island$4$27122+0.2%
South Carolina$4$281882+0.2%
South Dakota$4$2012213+0.2%
Tennessee$4$1964309+0.2%
Texas$4$21441,169+0.2%
Wyoming$4$33516+0.2%
Puerto Rico$4$51243+0.2%
Arizona$4$29111,148+0.2%
Arkansas$4$139158+0.2%
Colorado$4$2316126+0.2%
Connecticut$4$131166+0.2%
Florida$4$14964,0110.0%
Kentucky$4$139400.0%
Minnesota$4$195671,8020.0%
Ohio$4$15488460.0%
Pennsylvania$4$18183230.0%
Alabama$4$10143,9220.0%
California$4$20742,5910.0%
Georgia$4$1221551-0.2%
New Jersey$4$19421,550-0.2%
Wisconsin$4$46143750-0.2%
Michigan$4$1311121-0.5%
Hawaii$4$172242-0.7%
New York$4$231411,698-0.7%
Washington$4$2132341-0.9%
Oklahoma$4$21560-1.4%
Maryland$4$1229250-2.1%
Virginia$4$1436191-5.3%

⚠️ 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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