85060

Blood smear interpretation by physician with written report

Medicare pricing data for 4,690 providers across 51 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

Blood smear interpretation by physician with written report (HCPCS code 85060) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.70, but hospitals typically charge $83.83 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $23.70, your out-of-pocket cost would be approximately $4.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$23.70
Average Hospital Charge
$83.83
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$83.83
Medicare Allowed$23.70
Medicare Payment$18.65

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $18.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$31$26312103+31.0%
District of Columbia$26$7614203+9.8%
New Jersey$25$92812,145+7.1%
California$25$8944911,253+6.1%
Hawaii$25$9816310+5.8%
Connecticut$25$92611,858+5.3%
Maryland$25$84712,106+5.0%
Massachusetts$25$881122,455+4.6%
New York$25$871873,466+4.2%
Illinois$25$8622713,986+4.0%
Florida$24$10034716,381+2.7%
New Hampshire$24$20313296+2.6%
Delaware$24$6913117+2.2%
Pennsylvania$24$851934,258+1.7%
Colorado$24$75943,224+1.0%
Montana$24$6512309+0.6%
Michigan$24$661645,579+0.3%
Washington$24$78881,332+0.0%
Oregon$24$6544872-0.1%
Virginia$24$781178,781-0.8%
Nevada$23$7526754-0.9%
Wyoming$23$63220-1.3%
Arizona$23$70942,093-1.8%
Texas$23$8937810,359-1.8%
New Mexico$23$7935697-1.9%
Missouri$23$791063,171-1.9%
North Dakota$23$8623629-2.3%
Ohio$23$702189,764-2.6%
Vermont$23$9611132-2.6%
Louisiana$23$78883,164-2.7%
Puerto Rico$23$47226-2.7%
West Virginia$23$84371,562-2.8%
Utah$23$6638867-2.8%
Minnesota$23$921212,870-3.0%
Georgia$23$741392,798-3.0%
Maine$23$6716428-3.2%
South Dakota$23$8310772-3.2%
North Carolina$23$771174,706-3.5%
South Carolina$23$92772,779-3.6%
Iowa$23$84561,913-3.8%
Kentucky$23$68611,315-3.8%
Alabama$23$71681,782-4.4%
Wisconsin$23$1461282,716-4.9%
Oklahoma$22$75651,407-5.1%
Indiana$22$751023,637-5.3%
Kansas$22$75491,685-5.3%
Tennessee$22$741194,664-5.4%
Mississippi$22$75331,209-5.6%
Nebraska$22$78341,305-5.7%
Idaho$22$7114312-6.3%
Arkansas$22$58462,300-6.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber