Bone marrow, smear interpretation
Medicare pricing data for 4,005 providers across 52 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
Bone marrow, smear interpretation (HCPCS code 85097) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $52.35, but hospitals typically charge $241.81 — a 4.6x 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 $52.35, your out-of-pocket cost would be approximately $10.47. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $41.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $69 | $254 | 111 | 5,332 | +31.3% |
| Puerto Rico | $68 | $69 | 5 | 15 | +29.9% |
| Alaska | $63 | $412 | 11 | 95 | +20.9% |
| Connecticut | $60 | $264 | 64 | 1,966 | +14.7% |
| California | $58 | $249 | 429 | 15,060 | +11.4% |
| Florida | $56 | $228 | 249 | 11,681 | +7.9% |
| Hawaii | $56 | $214 | 26 | 292 | +6.9% |
| New York | $55 | $289 | 193 | 7,604 | +5.9% |
| North Dakota | $54 | $253 | 16 | 393 | +2.4% |
| Tennessee | $54 | $250 | 84 | 4,020 | +2.2% |
| Nevada | $53 | $163 | 27 | 736 | +0.7% |
| District of Columbia | $52 | $255 | 13 | 349 | -0.4% |
| Texas | $52 | $284 | 323 | 12,910 | -1.1% |
| New Mexico | $52 | $295 | 26 | 500 | -1.4% |
| Idaho | $52 | $172 | 16 | 274 | -1.5% |
| Illinois | $51 | $262 | 188 | 4,816 | -2.4% |
| Washington | $51 | $167 | 96 | 2,659 | -2.5% |
| Maryland | $51 | $203 | 91 | 2,018 | -2.6% |
| Massachusetts | $51 | $225 | 111 | 4,309 | -3.2% |
| Oregon | $51 | $253 | 32 | 849 | -3.2% |
| Minnesota | $51 | $313 | 124 | 3,096 | -3.5% |
| Alabama | $50 | $181 | 53 | 1,263 | -4.2% |
| Louisiana | $50 | $194 | 53 | 1,453 | -4.3% |
| Arizona | $49 | $229 | 92 | 3,823 | -5.6% |
| Montana | $49 | $170 | 15 | 473 | -5.9% |
| Pennsylvania | $49 | $253 | 146 | 4,945 | -5.9% |
| Nebraska | $49 | $184 | 31 | 902 | -6.5% |
| Oklahoma | $49 | $205 | 36 | 1,287 | -7.1% |
| Georgia | $48 | $209 | 116 | 2,482 | -7.8% |
| Rhode Island | $48 | $195 | 9 | 111 | -7.8% |
| Iowa | $48 | $299 | 51 | 1,547 | -7.9% |
| Virginia | $48 | $251 | 83 | 2,914 | -8.2% |
| Colorado | $48 | $217 | 63 | 1,795 | -8.3% |
| South Dakota | $48 | $206 | 17 | 588 | -8.5% |
| Delaware | $48 | $242 | 8 | 196 | -8.6% |
| South Carolina | $48 | $204 | 64 | 2,368 | -8.9% |
| New Hampshire | $48 | $463 | 18 | 393 | -9.0% |
| Utah | $48 | $182 | 34 | 999 | -9.1% |
| Arkansas | $48 | $189 | 46 | 2,752 | -9.1% |
| Michigan | $47 | $167 | 130 | 3,285 | -9.4% |
| North Carolina | $47 | $201 | 93 | 2,895 | -9.7% |
| Kansas | $47 | $190 | 55 | 1,958 | -9.9% |
| West Virginia | $47 | $210 | 31 | 534 | -10.3% |
| Wisconsin | $47 | $371 | 89 | 2,918 | -10.4% |
| Missouri | $47 | $226 | 89 | 2,690 | -10.4% |
| Wyoming | $47 | $183 | 4 | 12 | -10.6% |
| Maine | $47 | $161 | 20 | 401 | -10.7% |
| Ohio | $47 | $224 | 159 | 3,861 | -10.7% |
| Indiana | $46 | $189 | 80 | 1,729 | -11.5% |
| Vermont | $46 | $272 | 10 | 280 | -11.6% |
| Kentucky | $46 | $196 | 41 | 1,159 | -13.1% |
| Mississippi | $45 | $196 | 22 | 664 | -13.6% |
⚠️ 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