Drawing of blood for a medical problem
Medicare pricing data for 5,101 providers across 51 states
Prices vary significantly by location — from $47 in Arizona to $119 in District of Columbia. Where you get this procedure matters more than almost any other factor. 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
Drawing of blood for a medical problem (HCPCS code 99195) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $93.58, but hospitals typically charge $250.09 — a 2.7x 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 $93.58, your out-of-pocket cost would be approximately $18.72. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $67.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $119 | $281 | 7 | 87 | +27.4% |
| New York | $113 | $348 | 351 | 6,221 | +21.1% |
| California | $111 | $282 | 577 | 11,145 | +18.4% |
| New Jersey | $110 | $266 | 161 | 2,526 | +17.9% |
| Maryland | $109 | $269 | 101 | 1,815 | +16.2% |
| Hawaii | $107 | $169 | 10 | 284 | +14.3% |
| Connecticut | $104 | $341 | 30 | 443 | +11.3% |
| Massachusetts | $104 | $275 | 50 | 542 | +11.2% |
| New Hampshire | $101 | $351 | 14 | 108 | +8.2% |
| Delaware | $101 | $282 | 4 | 164 | +7.5% |
| Alaska | $100 | $377 | 29 | 259 | +6.9% |
| Pennsylvania | $99 | $242 | 106 | 1,492 | +5.8% |
| Colorado | $99 | $250 | 93 | 723 | +5.5% |
| Vermont | $98 | $137 | 6 | 117 | +4.3% |
| Puerto Rico | $97 | $142 | 9 | 24 | +4.1% |
| Virginia | $97 | $235 | 125 | 2,517 | +3.1% |
| Nevada | $96 | $255 | 61 | 1,323 | +2.8% |
| Minnesota | $96 | $342 | 102 | 540 | +2.7% |
| Maine | $94 | $364 | 15 | 183 | +0.6% |
| Michigan | $94 | $242 | 93 | 1,158 | +0.5% |
| Montana | $94 | $189 | 5 | 32 | +0.1% |
| North Dakota | $94 | $279 | 13 | 142 | -0.0% |
| Illinois | $93 | $229 | 187 | 1,594 | -0.2% |
| Florida | $93 | $254 | 453 | 8,035 | -0.3% |
| Wyoming | $93 | $263 | 27 | 210 | -0.5% |
| Oregon | $93 | $298 | 82 | 790 | -0.9% |
| Texas | $93 | $257 | 574 | 6,760 | -1.1% |
| Washington | $92 | $224 | 115 | 943 | -1.5% |
| South Dakota | $91 | $246 | 19 | 73 | -2.4% |
| Wisconsin | $90 | $348 | 61 | 343 | -4.3% |
| North Carolina | $89 | $233 | 117 | 1,618 | -5.3% |
| Ohio | $88 | $242 | 126 | 1,138 | -5.8% |
| Missouri | $88 | $237 | 93 | 531 | -6.2% |
| Nebraska | $87 | $189 | 66 | 517 | -6.7% |
| Indiana | $87 | $206 | 78 | 794 | -6.9% |
| New Mexico | $87 | $200 | 51 | 630 | -7.4% |
| South Carolina | $87 | $200 | 73 | 914 | -7.4% |
| Kansas | $86 | $182 | 46 | 513 | -7.7% |
| Georgia | $85 | $262 | 104 | 1,247 | -8.8% |
| Iowa | $85 | $304 | 43 | 378 | -9.1% |
| Utah | $85 | $163 | 58 | 517 | -9.2% |
| Oklahoma | $84 | $212 | 48 | 315 | -9.8% |
| Louisiana | $84 | $211 | 42 | 639 | -10.1% |
| Tennessee | $84 | $237 | 181 | 2,188 | -10.3% |
| Idaho | $83 | $218 | 27 | 341 | -11.6% |
| Alabama | $82 | $174 | 119 | 1,445 | -11.9% |
| Arkansas | $81 | $295 | 87 | 1,489 | -12.9% |
| Mississippi | $78 | $220 | 35 | 601 | -17.1% |
| West Virginia | $74 | $215 | 21 | 195 | -21.1% |
| Kentucky | $70 | $156 | 37 | 527 | -24.8% |
| Arizona | $47 | $112 | 163 | 5,722 | -49.5% |
⚠️ 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