85014

Red blood cell concentration measurement

Medicare pricing data for 5,165 providers across 51 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $14.08 but Medicare allows only $2.31. Uninsured patients may face bills 6.1 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

Red blood cell concentration measurement (HCPCS code 85014) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.31, but hospitals typically charge $14.08 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.31, your out-of-pocket cost would be approximately $0.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.31
Average Hospital Charge
$14.08
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$14.08
Medicare Allowed$2.31
Medicare Payment$2.31

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $2.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$2$7316+0.4%
Florida$2$1029120,778+0.4%
Georgia$2$8847,243+0.4%
Hawaii$2$851,476+0.4%
Illinois$2$191655,219+0.4%
Kansas$2$13774,740+0.4%
Louisiana$2$12391,439+0.4%
Maine$2$1312162+0.4%
Maryland$2$8633,978+0.4%
Massachusetts$2$92197,187+0.4%
Missouri$2$91261,471+0.4%
Montana$2$924146+0.4%
Nebraska$2$1327845+0.4%
Nevada$2$7281,909+0.4%
New Mexico$2$1222581+0.4%
New York$2$291505,199+0.4%
Ohio$2$1615711,297+0.4%
Oklahoma$2$14271,300+0.4%
Pennsylvania$2$13674,370+0.4%
Rhode Island$2$187662+0.4%
South Dakota$2$1270527+0.4%
West Virginia$2$101163+0.4%
Wyoming$2$2126180+0.4%
Puerto Rico$2$319275+0.4%
Colorado$2$151283,073+0.4%
Iowa$2$142562,6630.0%
Kentucky$2$7478390.0%
Michigan$2$10586860.0%
Mississippi$2$27811,7350.0%
New Hampshire$2$12231150.0%
New Jersey$2$154913,1620.0%
North Carolina$2$1519025,1210.0%
Oregon$2$12851,4020.0%
Texas$2$1537321,0120.0%
Utah$2$6531,7000.0%
Virginia$2$121345,1570.0%
Washington$2$152564,5560.0%
Alabama$2$181787,7830.0%
Connecticut$2$10253190.0%
Delaware$2$53358-0.4%
Indiana$2$12771,416-0.4%
North Dakota$2$3036307-0.4%
South Carolina$2$91011,461-0.4%
Tennessee$2$111756,200-0.4%
Alaska$2$3323210-0.4%
Arizona$2$15966,789-0.4%
Arkansas$2$8892,358-0.4%
California$2$1327218,508-0.4%
Minnesota$2$131871,465-0.9%
Idaho$2$1036325-1.3%
Wisconsin$2$313916,268-1.7%

⚠️ 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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