85732

Coagulation assessment blood test, substitution, plasma fractions

Medicare pricing data for 180 providers across 30 states

🤖AI Overview

This procedure has a 13.2x markup — hospitals charge $83.70 but Medicare allows only $6.33. Uninsured patients may face bills 13.2 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, substitution, plasma fractions (HCPCS code 85732) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.33, but hospitals typically charge $83.70 — a 13.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.33, your out-of-pocket cost would be approximately $1.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.33
Average Hospital Charge
$83.70
Markup Ratio
13.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$83.70
Medicare Allowed$6.33
Medicare Payment$6.33

Hospitals charge 13.2x more than what Medicare allows for this procedure. Medicare actually pays $6.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$6$659236+0.2%
Georgia$6$59436+0.2%
Hawaii$6$30120+0.2%
Kansas$6$72435+0.2%
Maryland$6$52577+0.2%
Massachusetts$6$53551+0.2%
Michigan$6$21521+0.2%
Minnesota$6$92765+0.2%
Nevada$6$62239+0.2%
New Jersey$6$81141,296+0.2%
New Mexico$6$105124+0.2%
New York$6$57121,215+0.2%
Ohio$6$578168+0.2%
Pennsylvania$6$65537+0.2%
Tennessee$6$39237+0.2%
Texas$6$7111510+0.2%
Utah$6$13234+0.2%
Virginia$6$29426+0.2%
Washington$6$62446+0.2%
Arizona$6$9753,233+0.2%
Colorado$6$485210+0.2%
North Carolina$6$9487,6390.0%
Alabama$6$64295-0.2%
California$6$4812545-0.3%
Oregon$6$22425-0.5%
Wisconsin$6$786343-0.5%
Oklahoma$6$463188-1.6%
Indiana$6$36144-1.7%
Illinois$6$219167-1.9%
Maine$6$66187-3.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber