Protein c, (clotting inhibitor) activity
Medicare pricing data for 129 providers across 25 states
This procedure has a 16.8x markup — hospitals charge $197.98 but Medicare allows only $11.75. Uninsured patients may face bills 16.8 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
Protein c, (clotting inhibitor) activity (HCPCS code 85302) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.75, but hospitals typically charge $197.98 — a 16.8x 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 $11.75, your out-of-pocket cost would be approximately $2.35. 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 16.8x more than what Medicare allows for this procedure. Medicare actually pays $11.75 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $12 | $265 | 7 | 664 | +0.2% |
| Georgia | $12 | $262 | 1 | 167 | +0.2% |
| Illinois | $12 | $244 | 2 | 72 | +0.2% |
| Maryland | $12 | $263 | 2 | 159 | +0.2% |
| Massachusetts | $12 | $268 | 3 | 88 | +0.2% |
| Michigan | $12 | $68 | 3 | 21 | +0.2% |
| Minnesota | $12 | $433 | 2 | 30 | +0.2% |
| Nevada | $12 | $271 | 2 | 81 | +0.2% |
| Oklahoma | $12 | $256 | 2 | 21 | +0.2% |
| Pennsylvania | $12 | $210 | 5 | 38 | +0.2% |
| Tennessee | $12 | $93 | 2 | 27 | +0.2% |
| Utah | $12 | $25 | 2 | 44 | +0.2% |
| Washington | $12 | $199 | 3 | 18 | +0.2% |
| Wisconsin | $12 | $144 | 2 | 20 | +0.2% |
| Alabama | $12 | $151 | 2 | 85 | +0.2% |
| Colorado | $12 | $212 | 4 | 188 | +0.2% |
| North Carolina | $12 | $176 | 6 | 1,583 | +0.1% |
| Texas | $12 | $131 | 9 | 788 | +0.1% |
| Arizona | $12 | $200 | 4 | 874 | 0.0% |
| New Jersey | $12 | $218 | 6 | 1,301 | -0.1% |
| California | $12 | $224 | 15 | 383 | -0.1% |
| Kansas | $12 | $229 | 3 | 70 | -0.6% |
| Virginia | $12 | $31 | 4 | 73 | -0.9% |
| Ohio | $12 | $119 | 9 | 90 | -0.9% |
| New York | $12 | $173 | 6 | 62 | -1.4% |
⚠️ 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