Red blood cell sedimentation rate, to detect inflammation, non-automated
Medicare pricing data for 9,379 providers across 51 states
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 sedimentation rate, to detect inflammation, non-automated (HCPCS code 85651) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.17, but hospitals typically charge $19.63 — a 4.7x 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 $4.17, your out-of-pocket cost would be approximately $0.83. 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 4.7x more than what Medicare allows for this procedure. Medicare actually pays $4.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $4 | $9 | 2 | 280 | +0.2% |
| Florida | $4 | $13 | 222 | 33,731 | +0.2% |
| Nevada | $4 | $14 | 11 | 385 | +0.2% |
| New Jersey | $4 | $26 | 109 | 69,060 | +0.2% |
| North Dakota | $4 | $23 | 29 | 494 | +0.2% |
| Rhode Island | $4 | $14 | 6 | 33 | +0.2% |
| Arizona | $4 | $14 | 58 | 1,493 | +0.2% |
| Hawaii | $4 | $13 | 3 | 4,383 | 0.0% |
| Illinois | $4 | $22 | 122 | 18,900 | 0.0% |
| Kentucky | $4 | $19 | 111 | 1,967 | 0.0% |
| Massachusetts | $4 | $14 | 730 | 9,833 | 0.0% |
| Minnesota | $4 | $16 | 163 | 1,310 | 0.0% |
| Montana | $4 | $15 | 28 | 553 | 0.0% |
| Nebraska | $4 | $15 | 217 | 4,003 | 0.0% |
| New Hampshire | $4 | $13 | 98 | 1,771 | 0.0% |
| New York | $4 | $26 | 955 | 60,728 | 0.0% |
| North Carolina | $4 | $22 | 467 | 9,664 | 0.0% |
| Ohio | $4 | $15 | 38 | 3,630 | 0.0% |
| West Virginia | $4 | $17 | 45 | 930 | 0.0% |
| California | $4 | $18 | 431 | 134,669 | 0.0% |
| Colorado | $4 | $13 | 79 | 642 | 0.0% |
| Connecticut | $4 | $16 | 23 | 1,274 | 0.0% |
| Georgia | $4 | $25 | 271 | 7,735 | -0.2% |
| Idaho | $4 | $21 | 44 | 227 | -0.2% |
| Iowa | $4 | $16 | 359 | 5,584 | -0.2% |
| Kansas | $4 | $28 | 186 | 5,782 | -0.2% |
| Louisiana | $4 | $18 | 122 | 6,994 | -0.2% |
| Maryland | $4 | $17 | 274 | 9,196 | -0.2% |
| Mississippi | $4 | $23 | 216 | 8,072 | -0.2% |
| Pennsylvania | $4 | $28 | 80 | 12,231 | -0.2% |
| South Dakota | $4 | $18 | 87 | 685 | -0.2% |
| Virginia | $4 | $21 | 314 | 12,106 | -0.2% |
| Wyoming | $4 | $33 | 39 | 278 | -0.2% |
| Puerto Rico | $4 | $4 | 452 | 6,497 | -0.2% |
| Arkansas | $4 | $19 | 255 | 3,172 | -0.2% |
| Indiana | $4 | $17 | 94 | 8,771 | -0.5% |
| Missouri | $4 | $18 | 173 | 9,223 | -0.5% |
| New Mexico | $4 | $16 | 28 | 423 | -0.5% |
| Oklahoma | $4 | $17 | 113 | 5,014 | -0.5% |
| South Carolina | $4 | $23 | 147 | 4,428 | -0.5% |
| Utah | $4 | $12 | 143 | 1,672 | -0.5% |
| Wisconsin | $4 | $34 | 308 | 4,389 | -0.5% |
| Alaska | $4 | $33 | 82 | 1,380 | -0.5% |
| Maine | $4 | $12 | 44 | 1,027 | -0.7% |
| Oregon | $4 | $13 | 100 | 7,529 | -0.7% |
| Texas | $4 | $14 | 432 | 24,747 | -0.7% |
| Alabama | $4 | $14 | 349 | 14,739 | -0.7% |
| Michigan | $4 | $14 | 167 | 8,267 | -1.0% |
| Washington | $4 | $11 | 289 | 3,683 | -1.4% |
| Tennessee | $4 | $13 | 206 | 4,199 | -1.9% |
| Vermont | $4 | $20 | 39 | 156 | -2.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber