Platelet aggregation function test
Medicare pricing data for 464 providers across 32 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
Platelet aggregation function test (HCPCS code 85576) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.38, but hospitals typically charge $72.11 — a 3.7x 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 $19.38, your out-of-pocket cost would be approximately $3.88. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $16.74 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $24 | $161 | 2 | 77 | +26.0% |
| Louisiana | $24 | $152 | 2 | 400 | +26.0% |
| Maryland | $24 | $105 | 1 | 58 | +26.0% |
| Tennessee | $24 | $56 | 5 | 160 | +26.0% |
| Puerto Rico | $24 | $25 | 3 | 30 | +26.0% |
| Mississippi | $24 | $90 | 9 | 40 | +22.4% |
| Minnesota | $23 | $144 | 20 | 323 | +21.0% |
| Georgia | $23 | $119 | 8 | 377 | +19.7% |
| Washington | $23 | $85 | 4 | 99 | +17.8% |
| New York | $23 | $57 | 25 | 2,221 | +17.6% |
| Arizona | $23 | $112 | 10 | 223 | +17.5% |
| Wisconsin | $22 | $157 | 11 | 335 | +13.8% |
| Oklahoma | $22 | $93 | 5 | 142 | +13.6% |
| Alabama | $21 | $101 | 10 | 83 | +8.2% |
| California | $21 | $91 | 41 | 3,103 | +7.0% |
| Massachusetts | $21 | $85 | 10 | 363 | +6.9% |
| Pennsylvania | $20 | $73 | 10 | 136 | +5.3% |
| Virginia | $19 | $66 | 12 | 739 | -0.7% |
| Illinois | $19 | $68 | 37 | 327 | -1.3% |
| New Jersey | $19 | $68 | 17 | 416 | -2.9% |
| Texas | $19 | $43 | 46 | 2,132 | -3.2% |
| Connecticut | $18 | $91 | 7 | 56 | -4.7% |
| North Carolina | $18 | $40 | 9 | 994 | -6.2% |
| Florida | $18 | $71 | 48 | 6,708 | -8.7% |
| Utah | $18 | $82 | 2 | 177 | -9.5% |
| Nevada | $17 | $45 | 5 | 571 | -10.3% |
| Michigan | $17 | $52 | 11 | 78 | -10.4% |
| Ohio | $17 | $61 | 28 | 1,333 | -11.0% |
| Vermont | $17 | $86 | 4 | 66 | -11.8% |
| Kentucky | $17 | $55 | 3 | 1,146 | -12.2% |
| Kansas | $17 | $62 | 9 | 18 | -12.6% |
| Missouri | $17 | $43 | 3 | 27 | -12.6% |
⚠️ 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