G0307

Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)

Medicare pricing data for 121 providers across 29 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

Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) (HCPCS code G0307) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.34, but hospitals typically charge $30.54 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.34, your out-of-pocket cost would be approximately $1.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.34
Average Hospital Charge
$30.54
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$30.54
Medicare Allowed$6.34
Medicare Payment$6.34

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $6.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$6$2974,3000.0%
Georgia$6$2535240.0%
Illinois$6$2323070.0%
Indiana$6$3411140.0%
Kansas$6$2827080.0%
Louisiana$6$332290.0%
Maryland$6$2723460.0%
Massachusetts$6$2542,1870.0%
Minnesota$6$1814280.0%
Missouri$6$253160.0%
Nebraska$6$353170.0%
Nevada$6$2413500.0%
New Hampshire$6$3414010.0%
New Jersey$6$3124,6940.0%
North Carolina$6$3465,1980.0%
Ohio$6$3141,3850.0%
Oklahoma$6$2433960.0%
Oregon$6$1836410.0%
South Carolina$6$363200.0%
Tennessee$6$302280.0%
Texas$6$32111,3020.0%
Virginia$6$3421730.0%
Washington$6$3536910.0%
Arizona$6$4011,0810.0%
California$6$3172,3670.0%
Colorado$6$3535590.0%
Connecticut$6$2421460.0%
Pennsylvania$6$244312-0.2%
Alabama$6$3134,024-0.2%

⚠️ 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