Reticulated (young) platelet measurement
Medicare pricing data for 829 providers across 24 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
Reticulated (young) platelet measurement (HCPCS code 85055) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.88, but hospitals typically charge $129.33 — a 3.7x 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 $34.88, your out-of-pocket cost would be approximately $6.98. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $34.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $35 | $155 | 4 | 62 | +0.4% |
| Iowa | $35 | $114 | 6 | 35 | +0.4% |
| Nebraska | $35 | $79 | 7 | 29 | +0.4% |
| North Carolina | $35 | $95 | 9 | 89 | +0.4% |
| Ohio | $35 | $39 | 3 | 357 | +0.4% |
| Oregon | $35 | $133 | 14 | 60 | +0.4% |
| Pennsylvania | $35 | $75 | 7 | 178 | +0.4% |
| Virginia | $35 | $139 | 17 | 688 | +0.4% |
| Wisconsin | $35 | $136 | 4 | 49 | +0.4% |
| Arizona | $35 | $47 | 1 | 213 | +0.4% |
| Connecticut | $35 | $267 | 8 | 571 | +0.4% |
| Oklahoma | $35 | $89 | 29 | 2,464 | +0.2% |
| Illinois | $35 | $102 | 24 | 1,427 | +0.2% |
| Michigan | $35 | $90 | 24 | 676 | +0.2% |
| Texas | $35 | $143 | 510 | 24,188 | 0.0% |
| Alabama | $35 | $80 | 17 | 422 | 0.0% |
| New York | $35 | $77 | 47 | 3,201 | -0.1% |
| Maryland | $35 | $138 | 8 | 156 | -0.1% |
| New Mexico | $35 | $52 | 8 | 126 | -0.4% |
| Colorado | $35 | $137 | 43 | 2,720 | -0.4% |
| California | $35 | $58 | 6 | 153 | -0.7% |
| Georgia | $34 | $125 | 5 | 25 | -2.0% |
| Missouri | $34 | $546 | 7 | 34 | -2.5% |
| Washington | $33 | $110 | 6 | 23 | -4.4% |
⚠️ 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