Coagulation function measurement, d-dimer; quantitative
Medicare pricing data for 5,713 providers across 49 states
This procedure has a 12.6x markup — hospitals charge $125.34 but Medicare allows only $9.95. Uninsured patients may face bills 12.6 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
Coagulation function measurement, d-dimer; quantitative (HCPCS code 85379) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.95, but hospitals typically charge $125.34 — a 12.6x 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 $9.95, your out-of-pocket cost would be approximately $1.99. 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 12.6x more than what Medicare allows for this procedure. Medicare actually pays $9.95 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $10 | $22 | 2 | 20 | +0.3% |
| Kentucky | $10 | $37 | 31 | 431 | +0.3% |
| Maine | $10 | $49 | 35 | 143 | +0.3% |
| Montana | $10 | $34 | 31 | 196 | +0.3% |
| New Mexico | $10 | $189 | 13 | 442 | +0.3% |
| Rhode Island | $10 | $35 | 8 | 776 | +0.3% |
| South Dakota | $10 | $56 | 47 | 266 | +0.3% |
| Wyoming | $10 | $91 | 40 | 263 | +0.3% |
| Connecticut | $10 | $124 | 11 | 367 | +0.3% |
| Florida | $10 | $167 | 124 | 8,379 | +0.2% |
| Indiana | $10 | $117 | 35 | 749 | +0.2% |
| Kansas | $10 | $146 | 108 | 3,769 | +0.2% |
| Nevada | $10 | $128 | 52 | 1,907 | +0.2% |
| New Jersey | $10 | $129 | 145 | 16,078 | +0.2% |
| Ohio | $10 | $151 | 122 | 5,033 | +0.2% |
| Oregon | $10 | $58 | 66 | 1,096 | +0.2% |
| Virginia | $10 | $55 | 120 | 2,429 | +0.2% |
| Puerto Rico | $10 | $39 | 62 | 172 | +0.2% |
| California | $10 | $124 | 155 | 19,971 | +0.2% |
| Colorado | $10 | $164 | 52 | 1,496 | +0.2% |
| Louisiana | $10 | $70 | 52 | 1,126 | +0.1% |
| Maryland | $10 | $118 | 27 | 2,197 | +0.1% |
| Massachusetts | $10 | $105 | 327 | 3,674 | +0.1% |
| New York | $10 | $97 | 362 | 6,974 | +0.1% |
| North Carolina | $10 | $180 | 386 | 14,453 | +0.1% |
| Pennsylvania | $10 | $122 | 23 | 1,259 | +0.1% |
| Arizona | $10 | $161 | 35 | 6,400 | +0.1% |
| Missouri | $10 | $115 | 91 | 618 | 0.0% |
| Texas | $10 | $132 | 347 | 15,868 | 0.0% |
| Illinois | $10 | $109 | 322 | 4,713 | -0.1% |
| Michigan | $10 | $58 | 28 | 785 | -0.1% |
| Tennessee | $10 | $100 | 174 | 3,014 | -0.1% |
| Minnesota | $10 | $64 | 610 | 2,580 | -0.2% |
| Oklahoma | $10 | $94 | 20 | 2,027 | -0.2% |
| Utah | $10 | $54 | 161 | 816 | -0.2% |
| Nebraska | $10 | $31 | 73 | 1,018 | -0.3% |
| Alabama | $10 | $150 | 194 | 4,507 | -0.3% |
| Georgia | $10 | $98 | 76 | 770 | -0.4% |
| Idaho | $10 | $70 | 29 | 284 | -0.6% |
| Arkansas | $10 | $28 | 112 | 862 | -0.6% |
| Wisconsin | $10 | $112 | 311 | 2,768 | -0.7% |
| Iowa | $10 | $50 | 200 | 1,404 | -0.8% |
| Washington | $10 | $103 | 265 | 3,556 | -0.8% |
| Hawaii | $10 | $58 | 5 | 754 | -0.9% |
| South Carolina | $10 | $61 | 74 | 901 | -1.1% |
| Mississippi | $10 | $48 | 104 | 948 | -1.2% |
| North Dakota | $10 | $65 | 13 | 249 | -1.5% |
| Alaska | $9 | $119 | 16 | 26 | -5.8% |
| West Virginia | $9 | $79 | 2 | 13 | -7.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber