Coagulation function screening test with interpretation and report
Medicare pricing data for 644 providers across 34 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
Coagulation function screening test with interpretation and report (HCPCS code 85390) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.67, but hospitals typically charge $101.21 — a 2.9x 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 $34.67, your out-of-pocket cost would be approximately $6.93. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $27.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $38 | $151 | 22 | 3,921 | +9.7% |
| New Jersey | $38 | $70 | 15 | 347 | +9.7% |
| Connecticut | $38 | $83 | 19 | 1,827 | +8.5% |
| California | $37 | $106 | 41 | 842 | +7.5% |
| Oregon | $37 | $109 | 12 | 217 | +6.3% |
| Maryland | $36 | $172 | 4 | 18 | +5.1% |
| New York | $36 | $110 | 28 | 2,753 | +4.1% |
| Hawaii | $36 | $86 | 8 | 207 | +4.1% |
| Pennsylvania | $36 | $108 | 24 | 622 | +4.0% |
| New Hampshire | $36 | $200 | 3 | 107 | +2.4% |
| Illinois | $35 | $69 | 37 | 1,765 | +2.1% |
| Michigan | $35 | $94 | 29 | 630 | +2.1% |
| Georgia | $35 | $120 | 3 | 127 | +1.6% |
| Vermont | $35 | $82 | 4 | 228 | +0.8% |
| Washington | $35 | $86 | 18 | 916 | +0.3% |
| Florida | $35 | $88 | 38 | 888 | -0.2% |
| Maine | $35 | $89 | 3 | 24 | -0.3% |
| Texas | $34 | $82 | 80 | 1,448 | -0.9% |
| Ohio | $34 | $85 | 33 | 715 | -1.7% |
| Nebraska | $34 | $92 | 3 | 496 | -1.8% |
| Indiana | $34 | $109 | 15 | 189 | -2.0% |
| Mississippi | $34 | $60 | 6 | 115 | -2.4% |
| Arkansas | $34 | $75 | 3 | 182 | -3.1% |
| Alabama | $33 | $55 | 6 | 155 | -4.2% |
| Nevada | $33 | $81 | 12 | 1,383 | -4.2% |
| Missouri | $32 | $59 | 5 | 67 | -6.3% |
| Tennessee | $32 | $55 | 7 | 413 | -7.2% |
| North Carolina | $32 | $80 | 6 | 477 | -8.9% |
| New Mexico | $31 | $156 | 11 | 278 | -10.8% |
| Iowa | $28 | $65 | 20 | 347 | -19.6% |
| Oklahoma | $25 | $56 | 8 | 132 | -27.0% |
| Minnesota | $25 | $131 | 53 | 1,015 | -29.0% |
| Arizona | $23 | $111 | 13 | 135 | -33.3% |
| Wisconsin | $19 | $70 | 10 | 394 | -44.4% |
⚠️ 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