Platelet function test
Medicare pricing data for 95 providers across 24 states
This procedure has a 7.2x markup — hospitals charge $126.67 but Medicare allows only $17.56. Uninsured patients may face bills 7.2 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 function test (HCPCS code 85597) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.56, but hospitals typically charge $126.67 — a 7.2x 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 $17.56, your out-of-pocket cost would be approximately $3.51. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $17.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $18 | $133 | 4 | 999 | +0.3% |
| Georgia | $18 | $131 | 1 | 381 | +0.3% |
| Illinois | $18 | $131 | 2 | 158 | +0.3% |
| Kansas | $18 | $133 | 2 | 150 | +0.3% |
| Maryland | $18 | $122 | 4 | 177 | +0.3% |
| Massachusetts | $18 | $132 | 2 | 166 | +0.3% |
| Minnesota | $18 | $130 | 8 | 24 | +0.3% |
| Nevada | $18 | $132 | 1 | 121 | +0.3% |
| North Carolina | $18 | $133 | 7 | 732 | +0.3% |
| Oklahoma | $18 | $128 | 1 | 62 | +0.3% |
| Pennsylvania | $18 | $132 | 3 | 91 | +0.3% |
| Utah | $18 | $36 | 1 | 12 | +0.3% |
| Virginia | $18 | $66 | 3 | 39 | +0.3% |
| Washington | $18 | $134 | 3 | 71 | +0.3% |
| Wisconsin | $18 | $76 | 2 | 18 | +0.3% |
| Alabama | $18 | $127 | 3 | 107 | +0.3% |
| Arizona | $18 | $138 | 1 | 184 | +0.3% |
| California | $18 | $132 | 8 | 1,096 | +0.3% |
| Colorado | $18 | $134 | 4 | 441 | +0.3% |
| New Jersey | $18 | $130 | 4 | 3,100 | +0.2% |
| New York | $18 | $93 | 2 | 247 | +0.2% |
| Ohio | $17 | $128 | 6 | 113 | -0.5% |
| Texas | $17 | $101 | 7 | 843 | -2.3% |
| Hawaii | $17 | $25 | 1 | 25 | -2.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber