85670

Thrombin time, fibrinogen screening test, plasma

Medicare pricing data for 184 providers across 29 states

🤖AI Overview

This procedure has a 10.8x markup — hospitals charge $60.71 but Medicare allows only $5.64. Uninsured patients may face bills 10.8 times higher than what insurance negotiates. 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

Thrombin time, fibrinogen screening test, plasma (HCPCS code 85670) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.64, but hospitals typically charge $60.71 — a 10.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.64, your out-of-pocket cost would be approximately $1.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.64
Average Hospital Charge
$60.71
Markup Ratio
10.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$60.71
Medicare Allowed$5.64
Medicare Payment$5.64

Hospitals charge 10.8x more than what Medicare allows for this procedure. Medicare actually pays $5.64 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$6$6413728+0.2%
Georgia$6$721159+0.2%
Iowa$6$32326+0.2%
Maryland$6$576159+0.2%
Massachusetts$6$73363+0.2%
Nevada$6$74157+0.2%
New Jersey$6$54122,090+0.2%
North Carolina$6$7173,965+0.2%
Oklahoma$6$543193+0.2%
Oregon$6$27417+0.2%
Pennsylvania$6$72571+0.2%
Tennessee$6$76299+0.2%
Utah$6$12247+0.2%
Virginia$6$33558+0.2%
Arizona$6$7251,863+0.2%
Colorado$6$456457+0.2%
Minnesota$6$6685340.0%
Texas$6$4898790.0%
Alabama$6$4531970.0%
California$6$43211,1000.0%
Kansas$6$714104-0.4%
New York$6$676196-0.4%
Washington$6$444137-0.4%
Wisconsin$6$644318-0.4%
Ohio$6$397276-0.5%
Hawaii$6$26246-1.4%
Indiana$6$22151-1.4%
Kentucky$6$18246-1.6%
Illinois$6$736110-2.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber