Clotting factor viii (ahg) measurement
Medicare pricing data for 230 providers across 31 states
This procedure has a 11.6x markup — hospitals charge $203.17 but Medicare allows only $17.51. Uninsured patients may face bills 11.6 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
Clotting factor viii (ahg) measurement (HCPCS code 85240) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.51, but hospitals typically charge $203.17 — a 11.6x 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 $17.51, your out-of-pocket cost would be approximately $3.50. 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 11.6x more than what Medicare allows for this procedure. Medicare actually pays $17.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $18 | $264 | 2 | 535 | +0.2% |
| Illinois | $18 | $203 | 6 | 232 | +0.2% |
| Iowa | $18 | $78 | 2 | 16 | +0.2% |
| Maine | $18 | $70 | 1 | 20 | +0.2% |
| Maryland | $18 | $228 | 4 | 176 | +0.2% |
| Massachusetts | $18 | $256 | 6 | 167 | +0.2% |
| Michigan | $18 | $48 | 6 | 13 | +0.2% |
| Nevada | $18 | $267 | 2 | 129 | +0.2% |
| North Dakota | $18 | $138 | 4 | 12 | +0.2% |
| Ohio | $18 | $209 | 11 | 154 | +0.2% |
| Oklahoma | $18 | $221 | 3 | 84 | +0.2% |
| Oregon | $18 | $98 | 4 | 33 | +0.2% |
| Pennsylvania | $18 | $281 | 8 | 152 | +0.2% |
| Tennessee | $18 | $135 | 3 | 92 | +0.2% |
| Utah | $18 | $39 | 2 | 119 | +0.2% |
| Virginia | $18 | $133 | 5 | 74 | +0.2% |
| Puerto Rico | $18 | $19 | 5 | 11 | +0.2% |
| Alabama | $18 | $199 | 3 | 128 | +0.2% |
| California | $18 | $208 | 23 | 1,171 | +0.2% |
| New Jersey | $18 | $202 | 6 | 3,278 | +0.1% |
| Florida | $18 | $244 | 9 | 827 | +0.1% |
| Colorado | $18 | $216 | 5 | 428 | 0.0% |
| North Carolina | $18 | $222 | 7 | 1,786 | -0.1% |
| Arizona | $18 | $209 | 4 | 1,080 | -0.1% |
| Minnesota | $17 | $213 | 32 | 267 | -0.1% |
| New York | $17 | $194 | 19 | 407 | -0.1% |
| Texas | $17 | $129 | 12 | 1,271 | -0.2% |
| Kansas | $17 | $233 | 4 | 148 | -0.4% |
| Washington | $17 | $172 | 5 | 143 | -0.5% |
| Wisconsin | $17 | $163 | 6 | 66 | -1.4% |
| Hawaii | $17 | $96 | 2 | 26 | -2.5% |
⚠️ 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