85384

Fibrinogen (factor 1) activity measurement

Medicare pricing data for 377 providers across 35 states

🤖AI Overview

This procedure has a 8.0x markup — hospitals charge $75.73 but Medicare allows only $9.52. Uninsured patients may face bills 8.0 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

Fibrinogen (factor 1) activity measurement (HCPCS code 85384) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.52, but hospitals typically charge $75.73 — a 8.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.52, your out-of-pocket cost would be approximately $1.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$9.52
Average Hospital Charge
$75.73
Markup Ratio
8.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$75.73
Medicare Allowed$9.52
Medicare Payment$9.52

Hospitals charge 8.0x more than what Medicare allows for this procedure. Medicare actually pays $9.52 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$10$7531532+0.5%
Georgia$10$771243+0.1%
Hawaii$10$30292+0.1%
Illinois$10$6381,316+0.1%
Indiana$10$74441+0.1%
Iowa$10$54426+0.1%
Louisiana$10$90544+0.1%
Maine$10$28224+0.1%
Maryland$10$806587+0.1%
Massachusetts$10$586239+0.1%
Nevada$10$763205+0.1%
New Mexico$10$176276+0.1%
Oklahoma$10$575129+0.1%
Pennsylvania$10$628176+0.1%
Rhode Island$10$34213+0.1%
Tennessee$10$55295+0.1%
Arizona$10$9451,545+0.1%
California$10$97364,157+0.1%
Colorado$10$916175+0.1%
Florida$10$78131,9840.0%
Kansas$10$6445160.0%
New Jersey$10$72115,6770.0%
New York$10$62711,3270.0%
North Carolina$10$8882,3660.0%
Virginia$10$426377-0.1%
Puerto Rico$10$102565-0.1%
Ohio$10$5417993-0.2%
Texas$10$55182,235-0.2%
Alabama$10$869405-0.2%
Washington$9$777390-0.3%
Oregon$9$534110-0.6%
Michigan$9$29882-0.9%
Wisconsin$9$66876-1.8%
South Carolina$9$25326-2.6%
North Dakota$9$92464-3.2%

⚠️ 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