86900

Blood group typing (abo)

Medicare pricing data for 855 providers across 42 states

🤖AI Overview

This procedure has a 11.8x markup — hospitals charge $34.67 but Medicare allows only $2.93. Uninsured patients may face bills 11.8 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 group typing (abo) (HCPCS code 86900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.93, but hospitals typically charge $34.67 — a 11.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.93, your out-of-pocket cost would be approximately $0.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.93
Average Hospital Charge
$34.67
Markup Ratio
11.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$34.67
Medicare Allowed$2.93
Medicare Payment$2.93

Hospitals charge 11.8x more than what Medicare allows for this procedure. Medicare actually pays $2.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$3$19235+11.6%
Minnesota$3$311835,567+1.0%
California$3$34847,109+0.3%
Florida$3$56336,9630.0%
Georgia$3$453720.0%
Hawaii$3$1436370.0%
Idaho$3$263170.0%
Indiana$3$209630.0%
Iowa$3$16191910.0%
Kansas$3$42108720.0%
Kentucky$3$123340.0%
Louisiana$3$1291860.0%
Maine$3$534480.0%
Massachusetts$3$43446710.0%
Nebraska$3$124440.0%
Nevada$3$42102960.0%
New Jersey$3$38187,4740.0%
New Mexico$3$3021270.0%
New York$3$61462,3580.0%
Pennsylvania$3$31101,8290.0%
South Dakota$3$246320.0%
Tennessee$3$37102400.0%
Texas$3$32612,8920.0%
Utah$3$1114610.0%
Alabama$3$3979490.0%
Colorado$3$3463040.0%
Connecticut$3$3753320.0%
Maryland$3$19102,383-0.3%
Michigan$3$1615366-0.3%
North Carolina$3$40113,238-0.3%
North Dakota$3$457123-0.3%
Ohio$3$24182,430-0.3%
Oklahoma$3$286739-0.3%
Virginia$3$1053,723-0.3%
Puerto Rico$3$367130-0.3%
Arizona$3$3171,362-0.3%
Oregon$3$1212249-0.7%
Wisconsin$3$31272,036-0.7%
Washington$3$3211476-1.0%
Mississippi$3$209245-1.4%
Illinois$3$4017805-2.0%
South Carolina$3$26643-2.4%

⚠️ 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