Total cell count for b cells (white blood cells)
Medicare pricing data for 230 providers across 32 states
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
Total cell count for b cells (white blood cells) (HCPCS code 86355) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.90, but hospitals typically charge $140.91 — a 3.8x 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 $36.90, your out-of-pocket cost would be approximately $7.38. 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 3.8x more than what Medicare allows for this procedure. Medicare actually pays $36.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $37 | $116 | 2 | 67 | +0.2% |
| Indiana | $37 | $170 | 2 | 12 | +0.2% |
| Kansas | $37 | $158 | 4 | 420 | +0.2% |
| Maine | $37 | $107 | 2 | 38 | +0.2% |
| Maryland | $37 | $125 | 5 | 282 | +0.2% |
| Michigan | $37 | $104 | 5 | 15 | +0.2% |
| New Mexico | $37 | $101 | 1 | 55 | +0.2% |
| North Dakota | $37 | $170 | 4 | 33 | +0.2% |
| Oklahoma | $37 | $145 | 4 | 103 | +0.2% |
| Oregon | $37 | $154 | 3 | 15 | +0.2% |
| Utah | $37 | $100 | 5 | 39 | +0.2% |
| Wisconsin | $37 | $212 | 4 | 96 | +0.2% |
| Alabama | $37 | $170 | 3 | 82 | +0.2% |
| New Jersey | $37 | $111 | 9 | 6,858 | +0.2% |
| Arizona | $37 | $124 | 3 | 607 | +0.2% |
| Colorado | $37 | $181 | 4 | 382 | +0.2% |
| Florida | $37 | $145 | 10 | 2,388 | +0.1% |
| Texas | $37 | $129 | 15 | 1,124 | +0.1% |
| Ohio | $37 | $171 | 7 | 185 | +0.1% |
| California | $37 | $124 | 15 | 3,455 | +0.0% |
| North Carolina | $37 | $161 | 7 | 1,493 | 0.0% |
| Pennsylvania | $37 | $132 | 6 | 321 | -0.0% |
| Illinois | $37 | $130 | 3 | 298 | -0.2% |
| Massachusetts | $37 | $113 | 6 | 677 | -0.2% |
| Nevada | $37 | $119 | 1 | 164 | -0.2% |
| New York | $37 | $273 | 6 | 1,067 | -0.3% |
| Minnesota | $37 | $236 | 44 | 1,255 | -0.4% |
| Georgia | $37 | $138 | 1 | 28 | -0.5% |
| Tennessee | $37 | $73 | 11 | 76 | -0.6% |
| Washington | $36 | $147 | 6 | 136 | -2.7% |
| Iowa | $36 | $120 | 2 | 26 | -3.3% |
| Virginia | $36 | $109 | 4 | 193 | -3.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber