Clotting factor viii (vw factor) antigen
Medicare pricing data for 179 providers across 29 states
This procedure has a 9.8x markup — hospitals charge $220.60 but Medicare allows only $22.41. Uninsured patients may face bills 9.8 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 (vw factor) antigen (HCPCS code 85246) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.41, but hospitals typically charge $220.60 — a 9.8x 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 $22.41, your out-of-pocket cost would be approximately $4.48. 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 9.8x more than what Medicare allows for this procedure. Medicare actually pays $22.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $22 | $249 | 1 | 193 | +0.3% |
| Hawaii | $22 | $95 | 2 | 12 | +0.3% |
| Illinois | $22 | $196 | 3 | 112 | +0.3% |
| Iowa | $22 | $105 | 2 | 16 | +0.3% |
| Maine | $22 | $81 | 1 | 13 | +0.3% |
| Maryland | $22 | $239 | 3 | 111 | +0.3% |
| Massachusetts | $22 | $239 | 4 | 132 | +0.3% |
| Nevada | $22 | $288 | 2 | 74 | +0.3% |
| New Mexico | $22 | $272 | 1 | 31 | +0.3% |
| Ohio | $22 | $234 | 10 | 58 | +0.3% |
| Oklahoma | $22 | $215 | 3 | 34 | +0.3% |
| Oregon | $22 | $130 | 4 | 27 | +0.3% |
| Pennsylvania | $22 | $231 | 7 | 72 | +0.3% |
| Tennessee | $22 | $201 | 1 | 47 | +0.3% |
| Utah | $22 | $47 | 2 | 73 | +0.3% |
| Virginia | $22 | $95 | 3 | 32 | +0.3% |
| Washington | $22 | $173 | 5 | 77 | +0.3% |
| Alabama | $22 | $203 | 2 | 60 | +0.3% |
| California | $22 | $221 | 15 | 590 | +0.3% |
| Colorado | $22 | $253 | 4 | 106 | +0.3% |
| New Jersey | $22 | $212 | 6 | 1,648 | +0.2% |
| North Carolina | $22 | $232 | 7 | 882 | +0.2% |
| Florida | $22 | $258 | 7 | 464 | +0.1% |
| Arizona | $22 | $225 | 2 | 484 | +0.1% |
| Minnesota | $22 | $271 | 24 | 245 | 0.0% |
| New York | $22 | $369 | 13 | 88 | -0.4% |
| Kansas | $22 | $241 | 4 | 72 | -0.8% |
| Texas | $22 | $158 | 9 | 410 | -2.1% |
| Wisconsin | $21 | $202 | 6 | 32 | -5.9% |
⚠️ 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