White blood cell measure, stool specimen
Medicare pricing data for 675 providers across 37 states
This procedure has a 12.0x markup — hospitals charge $50.27 but Medicare allows only $4.18. Uninsured patients may face bills 12.0 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
White blood cell measure, stool specimen (HCPCS code 89055) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.18, but hospitals typically charge $50.27 — a 12.0x 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 $4.18, your out-of-pocket cost would be approximately $0.84. 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 12.0x more than what Medicare allows for this procedure. Medicare actually pays $4.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Mississippi | $4 | $45 | 6 | 284 | +2.4% |
| Puerto Rico | $4 | $5 | 57 | 93 | +1.0% |
| New York | $4 | $24 | 49 | 354 | +0.2% |
| Florida | $4 | $62 | 30 | 3,716 | 0.0% |
| Georgia | $4 | $55 | 5 | 18 | 0.0% |
| Illinois | $4 | $63 | 13 | 459 | 0.0% |
| Iowa | $4 | $36 | 9 | 24 | 0.0% |
| Kansas | $4 | $45 | 11 | 124 | 0.0% |
| Louisiana | $4 | $48 | 4 | 51 | 0.0% |
| Maryland | $4 | $67 | 28 | 417 | 0.0% |
| Massachusetts | $4 | $56 | 6 | 965 | 0.0% |
| Michigan | $4 | $20 | 4 | 36 | 0.0% |
| Minnesota | $4 | $26 | 82 | 119 | 0.0% |
| Missouri | $4 | $68 | 21 | 715 | 0.0% |
| Nebraska | $4 | $15 | 1 | 38 | 0.0% |
| Nevada | $4 | $56 | 3 | 223 | 0.0% |
| New Hampshire | $4 | $14 | 27 | 53 | 0.0% |
| North Carolina | $4 | $55 | 20 | 5,178 | 0.0% |
| Oregon | $4 | $28 | 9 | 66 | 0.0% |
| Rhode Island | $4 | $20 | 1 | 59 | 0.0% |
| South Carolina | $4 | $8 | 2 | 19 | 0.0% |
| South Dakota | $4 | $26 | 9 | 33 | 0.0% |
| Tennessee | $4 | $40 | 12 | 504 | 0.0% |
| Texas | $4 | $55 | 35 | 3,883 | 0.0% |
| Virginia | $4 | $34 | 79 | 924 | 0.0% |
| Arizona | $4 | $55 | 15 | 1,480 | 0.0% |
| Arkansas | $4 | $24 | 6 | 12 | 0.0% |
| California | $4 | $54 | 26 | 2,679 | 0.0% |
| Colorado | $4 | $64 | 6 | 138 | 0.0% |
| New Jersey | $4 | $38 | 12 | 6,709 | -0.2% |
| Oklahoma | $4 | $49 | 4 | 510 | -0.2% |
| Pennsylvania | $4 | $52 | 15 | 433 | -0.2% |
| Washington | $4 | $54 | 8 | 537 | -0.2% |
| Alabama | $4 | $46 | 35 | 2,273 | -0.2% |
| Ohio | $4 | $54 | 6 | 887 | -0.5% |
| Indiana | $4 | $32 | 2 | 98 | -1.0% |
| Maine | $4 | $14 | 2 | 36 | -1.4% |
⚠️ 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