Fibrinogen (factor 1) antigen detection
Medicare pricing data for 101 providers across 21 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
Fibrinogen (factor 1) antigen detection (HCPCS code 85385) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.17, but hospitals typically charge $48.92 — a 3.5x 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 $14.17, your out-of-pocket cost would be approximately $2.83. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $14.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $14 | $54 | 1 | 493 | +0.4% |
| Florida | $14 | $69 | 6 | 723 | 0.0% |
| Georgia | $14 | $54 | 1 | 163 | 0.0% |
| Kansas | $14 | $70 | 2 | 164 | 0.0% |
| Maryland | $14 | $53 | 1 | 14 | 0.0% |
| Nevada | $14 | $53 | 2 | 134 | 0.0% |
| New Jersey | $14 | $95 | 5 | 429 | 0.0% |
| New York | $14 | $69 | 3 | 76 | 0.0% |
| Ohio | $14 | $60 | 7 | 2,917 | 0.0% |
| Pennsylvania | $14 | $43 | 2 | 18 | 0.0% |
| Tennessee | $14 | $41 | 18 | 57 | 0.0% |
| Texas | $14 | $73 | 6 | 298 | 0.0% |
| Utah | $14 | $35 | 2 | 14 | 0.0% |
| Washington | $14 | $106 | 3 | 276 | 0.0% |
| Puerto Rico | $14 | $14 | 5 | 17 | 0.0% |
| Alabama | $14 | $181 | 3 | 44 | 0.0% |
| Arizona | $14 | $152 | 3 | 289 | 0.0% |
| Colorado | $14 | $133 | 3 | 22 | 0.0% |
| Massachusetts | $14 | $23 | 4 | 10,442 | -0.1% |
| North Carolina | $14 | $166 | 3 | 944 | -0.1% |
| California | $14 | $75 | 10 | 989 | -0.1% |
⚠️ 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