Georgia · 86077

Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in Georgia

Georgia Medicare Avg
$37.53
3% below national avg
National Medicare Avg
$38.70
All states combined
Billed Charge (GA)
$164.02
What providers submit
Est. Commercial (GA)
$107.40
National avg: $110.89
Est. Cash / Self-Pay (GA)
$80.91
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

563
Services in GA
33
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Georgia

Provider Medicare Services
Butler, Bradley MD $38.72 17

Georgia Pricing in Context

In Georgia, CPT code 86077 (Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report) carries an average Medicare payment of $37.53 — 3% below the national benchmark of $38.70. 33 providers across the state submitted claims for this procedure in 2023, performing 563 total services. Individual payments in GA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Georgia is $164.02, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Georgia sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Blood Test procedures, the estimated commercial insurance price in Georgia lands near $107.40, with self-pay cash prices typically around $80.91. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report cost in Georgia?

The average Medicare payment for Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in Georgia is $37.53, which is 3% below the national average of $38.70. Providers in GA typically bill $164.02 for this procedure.

What does Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report cost with insurance in Georgia?

With commercial insurance in Georgia, Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report costs an estimated $107.40. Without insurance, the estimated cash price is $80.91. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in Georgia?

33 providers in Georgia billed Medicare for Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in 2023, performing 563 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report cheaper in Georgia than the national average?

Yes — Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report costs 3% below the national average in Georgia. The state average Medicare payment is $37.53 compared to $38.70 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial