Coagulation assessment blood test, plasma or whole blood
Medicare pricing data for 5,262 providers across 50 states
This procedure has a 7.4x markup — hospitals charge $43.55 but Medicare allows only $5.88. Uninsured patients may face bills 7.4 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
Coagulation assessment blood test, plasma or whole blood (HCPCS code 85730) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.88, but hospitals typically charge $43.55 — a 7.4x 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 $5.88, your out-of-pocket cost would be approximately $1.18. 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 7.4x more than what Medicare allows for this procedure. Medicare actually pays $5.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $6 | $17 | 3 | 74 | +0.2% |
| Florida | $6 | $48 | 230 | 47,949 | +0.2% |
| Georgia | $6 | $52 | 37 | 4,154 | +0.2% |
| Idaho | $6 | $41 | 10 | 94 | +0.2% |
| Montana | $6 | $37 | 5 | 34 | +0.2% |
| Nebraska | $6 | $21 | 7 | 157 | +0.2% |
| New Hampshire | $6 | $36 | 44 | 191 | +0.2% |
| New Jersey | $6 | $45 | 316 | 68,690 | +0.2% |
| Utah | $6 | $18 | 35 | 276 | +0.2% |
| Wyoming | $6 | $29 | 11 | 68 | +0.2% |
| Alaska | $6 | $55 | 6 | 52 | +0.2% |
| California | $6 | $41 | 268 | 81,048 | +0.2% |
| Colorado | $6 | $56 | 18 | 2,366 | +0.2% |
| Illinois | $6 | $43 | 303 | 6,284 | 0.0% |
| Iowa | $6 | $27 | 62 | 1,038 | 0.0% |
| Kansas | $6 | $51 | 42 | 2,895 | 0.0% |
| Louisiana | $6 | $33 | 78 | 1,824 | 0.0% |
| Maryland | $6 | $41 | 94 | 7,383 | 0.0% |
| Massachusetts | $6 | $48 | 229 | 4,781 | 0.0% |
| Minnesota | $6 | $46 | 218 | 2,560 | 0.0% |
| Missouri | $6 | $51 | 56 | 783 | 0.0% |
| Nevada | $6 | $51 | 24 | 3,981 | 0.0% |
| New Mexico | $6 | $51 | 6 | 610 | 0.0% |
| New York | $6 | $51 | 836 | 30,922 | 0.0% |
| North Carolina | $6 | $45 | 185 | 22,307 | 0.0% |
| Oklahoma | $6 | $34 | 18 | 1,679 | 0.0% |
| Oregon | $6 | $27 | 46 | 647 | 0.0% |
| Pennsylvania | $6 | $40 | 33 | 3,849 | 0.0% |
| Tennessee | $6 | $35 | 258 | 3,070 | 0.0% |
| Texas | $6 | $45 | 342 | 27,104 | 0.0% |
| Puerto Rico | $6 | $7 | 436 | 4,647 | 0.0% |
| Alabama | $6 | $44 | 48 | 5,663 | 0.0% |
| Arizona | $6 | $47 | 91 | 13,747 | 0.0% |
| Connecticut | $6 | $46 | 112 | 1,401 | 0.0% |
| Hawaii | $6 | $22 | 5 | 3,090 | -0.2% |
| Kentucky | $6 | $26 | 59 | 576 | -0.2% |
| Michigan | $6 | $20 | 54 | 1,904 | -0.2% |
| Ohio | $6 | $35 | 209 | 7,108 | -0.2% |
| Rhode Island | $6 | $26 | 7 | 248 | -0.2% |
| Indiana | $6 | $28 | 54 | 992 | -0.3% |
| Mississippi | $6 | $58 | 15 | 1,100 | -0.3% |
| North Dakota | $6 | $49 | 16 | 257 | -0.3% |
| South Carolina | $6 | $36 | 37 | 1,263 | -0.3% |
| South Dakota | $6 | $35 | 26 | 172 | -0.3% |
| Virginia | $6 | $24 | 40 | 2,856 | -0.3% |
| Wisconsin | $6 | $50 | 39 | 1,349 | -0.3% |
| Washington | $6 | $44 | 117 | 2,852 | -0.5% |
| Arkansas | $6 | $27 | 57 | 569 | -0.9% |
| Maine | $6 | $30 | 2 | 96 | -1.5% |
| West Virginia | $6 | $27 | 8 | 52 | -1.7% |
⚠️ 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