85810

Blood viscosity measurement

Medicare pricing data for 169 providers across 29 states

🤖AI Overview

This procedure has a 8.2x markup — hospitals charge $93.57 but Medicare allows only $11.43. Uninsured patients may face bills 8.2 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

Blood viscosity measurement (HCPCS code 85810) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.43, but hospitals typically charge $93.57 — a 8.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.29

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.43, your out-of-pocket cost would be approximately $2.29. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.43
Average Hospital Charge
$93.57
Markup Ratio
8.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$93.57
Medicare Allowed$11.43
Medicare Payment$11.43

Hospitals charge 8.2x more than what Medicare allows for this procedure. Medicare actually pays $11.43 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$11$1627220+0.3%
Delaware$11$201101+0.1%
Florida$11$1156859+0.1%
Georgia$11$1111450+0.1%
Hawaii$11$59256+0.1%
Illinois$11$1276151+0.1%
Kansas$11$1194160+0.1%
Maryland$11$1174242+0.1%
Massachusetts$11$1077161+0.1%
Nebraska$11$41450+0.1%
Nevada$11$1142185+0.1%
New Mexico$11$214140+0.1%
Ohio$11$815234+0.1%
Oklahoma$11$83238+0.1%
Oregon$11$37319+0.1%
Texas$11$71171,290+0.1%
Utah$11$232190+0.1%
Virginia$11$33349+0.1%
Washington$11$1005275+0.1%
Alabama$11$752109+0.1%
Arizona$11$864811+0.1%
Colorado$11$1103222+0.1%
New Jersey$11$10152,0500.0%
North Carolina$11$8571,6410.0%
California$11$102151,8500.0%
New York$11$926791-0.1%
Pennsylvania$11$7810407-0.3%
Tennessee$11$50597-1.7%
Wisconsin$11$81578-3.8%

⚠️ 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