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Platelet aggregation function test

Medicare pricing data for 464 providers across 32 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

Platelet aggregation function test (HCPCS code 85576) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.38, but hospitals typically charge $72.11 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.88

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.38, your out-of-pocket cost would be approximately $3.88. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.38
Average Hospital Charge
$72.11
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.11
Medicare Allowed$19.38
Medicare Payment$16.74

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $16.74 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$24$161277+26.0%
Louisiana$24$1522400+26.0%
Maryland$24$105158+26.0%
Tennessee$24$565160+26.0%
Puerto Rico$24$25330+26.0%
Mississippi$24$90940+22.4%
Minnesota$23$14420323+21.0%
Georgia$23$1198377+19.7%
Washington$23$85499+17.8%
New York$23$57252,221+17.6%
Arizona$23$11210223+17.5%
Wisconsin$22$15711335+13.8%
Oklahoma$22$935142+13.6%
Alabama$21$1011083+8.2%
California$21$91413,103+7.0%
Massachusetts$21$8510363+6.9%
Pennsylvania$20$7310136+5.3%
Virginia$19$6612739-0.7%
Illinois$19$6837327-1.3%
New Jersey$19$6817416-2.9%
Texas$19$43462,132-3.2%
Connecticut$18$91756-4.7%
North Carolina$18$409994-6.2%
Florida$18$71486,708-8.7%
Utah$18$822177-9.5%
Nevada$17$455571-10.3%
Michigan$17$521178-10.4%
Ohio$17$61281,333-11.0%
Vermont$17$86466-11.8%
Kentucky$17$5531,146-12.2%
Kansas$17$62918-12.6%
Missouri$17$43327-12.6%

⚠️ 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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