Body fluid cell count with cell identification
Medicare pricing data for 549 providers across 42 states
This procedure has a 8.7x markup — hospitals charge $47.71 but Medicare allows only $5.48. Uninsured patients may face bills 8.7 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
Body fluid cell count with cell identification (HCPCS code 89051) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.48, but hospitals typically charge $47.71 — a 8.7x 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 $5.48, your out-of-pocket cost would be approximately $1.10. 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 8.7x more than what Medicare allows for this procedure. Medicare actually pays $5.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Tennessee | $6 | $54 | 8 | 256 | +0.7% |
| District of Columbia | $5 | $20 | 4 | 31 | +0.2% |
| Georgia | $5 | $53 | 7 | 322 | +0.2% |
| Hawaii | $5 | $19 | 2 | 152 | +0.2% |
| Indiana | $5 | $54 | 3 | 61 | +0.2% |
| Kentucky | $5 | $21 | 3 | 77 | +0.2% |
| Louisiana | $5 | $48 | 8 | 120 | +0.2% |
| Maine | $5 | $30 | 9 | 101 | +0.2% |
| Maryland | $5 | $20 | 30 | 9,419 | +0.2% |
| Missouri | $5 | $54 | 5 | 57 | +0.2% |
| Nebraska | $5 | $53 | 2 | 57 | +0.2% |
| Nevada | $5 | $53 | 2 | 243 | +0.2% |
| New Mexico | $5 | $170 | 1 | 60 | +0.2% |
| New York | $5 | $35 | 34 | 1,303 | +0.2% |
| North Dakota | $5 | $54 | 6 | 72 | +0.2% |
| Oregon | $5 | $32 | 4 | 135 | +0.2% |
| South Carolina | $5 | $16 | 3 | 14 | +0.2% |
| California | $5 | $56 | 23 | 4,252 | +0.2% |
| Colorado | $5 | $69 | 6 | 388 | +0.2% |
| Florida | $5 | $55 | 15 | 6,157 | 0.0% |
| Massachusetts | $5 | $54 | 41 | 938 | 0.0% |
| Minnesota | $5 | $74 | 45 | 858 | 0.0% |
| New Jersey | $5 | $55 | 69 | 4,911 | 0.0% |
| North Carolina | $5 | $68 | 11 | 2,229 | 0.0% |
| Texas | $5 | $50 | 31 | 3,315 | 0.0% |
| Arizona | $5 | $51 | 3 | 480 | 0.0% |
| Illinois | $5 | $80 | 8 | 697 | -0.2% |
| Iowa | $5 | $28 | 18 | 221 | -0.2% |
| Oklahoma | $5 | $56 | 5 | 216 | -0.2% |
| Pennsylvania | $5 | $95 | 11 | 847 | -0.2% |
| Utah | $5 | $48 | 3 | 174 | -0.2% |
| Alabama | $5 | $68 | 4 | 297 | -0.2% |
| Kansas | $5 | $63 | 17 | 410 | -0.4% |
| Ohio | $5 | $62 | 15 | 570 | -0.4% |
| Washington | $5 | $58 | 32 | 722 | -0.4% |
| Michigan | $5 | $24 | 9 | 87 | -0.7% |
| South Dakota | $5 | $42 | 3 | 222 | -0.7% |
| Virginia | $5 | $23 | 6 | 292 | -0.7% |
| Mississippi | $5 | $44 | 2 | 2,663 | -1.3% |
| Wisconsin | $5 | $59 | 16 | 388 | -1.8% |
| Arkansas | $5 | $20 | 3 | 26 | -2.6% |
| Idaho | $5 | $38 | 1 | 46 | -6.4% |
⚠️ 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