86077

Blood bank physician services for cross match and/or evaluation and written report

Medicare pricing data for 1,009 providers across 42 states

🤖AI Overview

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 bank physician services for cross match and/or evaluation and written report (HCPCS code 86077) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $49.50, but hospitals typically charge $222.78 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $49.50, your out-of-pocket cost would be approximately $9.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$49.50
Average Hospital Charge
$222.78
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$222.78
Medicare Allowed$49.50
Medicare Payment$38.70

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $38.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$64$217237+29.8%
New York$53$208573,762+6.3%
New Jersey$52$2249378+5.6%
District of Columbia$52$12112215+5.5%
Maryland$52$19014360+5.1%
California$51$196745,134+3.9%
Massachusetts$51$175391,361+3.7%
Virginia$51$20928511+3.5%
Pennsylvania$51$172611,789+3.3%
Washington$51$15114294+3.2%
Connecticut$51$21517528+2.6%
Oregon$50$1963164+1.4%
Hawaii$50$1177150+1.2%
Illinois$50$250584,661+0.4%
Colorado$49$19819463-0.2%
Vermont$49$165222-0.4%
Florida$49$251733,250-0.8%
Texas$49$2989710,891-1.4%
Rhode Island$49$1347222-1.8%
Minnesota$48$16117271-2.2%
Michigan$48$14722403-2.3%
New Hampshire$48$37415153-2.3%
Louisiana$48$19319202-2.5%
Arizona$48$109291,441-2.8%
Georgia$48$16433563-3.6%
New Mexico$48$136387-3.8%
Iowa$47$23717347-4.9%
Missouri$47$14526780-5.2%
Wisconsin$47$33924605-5.3%
Kentucky$47$14718572-5.4%
Ohio$47$145421,005-5.5%
West Virginia$47$203218-5.5%
Maine$47$154619-5.9%
South Carolina$46$1928279-6.5%
Nebraska$46$127568-7.0%
North Carolina$46$16523607-7.1%
Oklahoma$46$102380-7.1%
Kansas$46$239153-7.2%
Tennessee$46$14823400-7.5%
Alabama$46$8620398-7.9%
Indiana$46$12011219-8.0%
Arkansas$41$9416452-16.3%

⚠️ 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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