Vermont · 86077

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

Vermont Medicare Avg
$37.45
3% below national avg
National Medicare Avg
$38.70
All states combined
Billed Charge (VT)
$165.36
What providers submit
Est. Commercial (VT)
$108.43
National avg: $110.89
Est. Cash / Self-Pay (VT)
$82.44
Typical self-pay discount

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

22
Services in VT
2
Providers
N/A
Min Payment
N/A
Max Payment

Vermont Pricing in Context

In Vermont, CPT code 86077 (Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report) carries an average Medicare payment of $37.45 — 3% below the national benchmark of $38.70. 2 providers across the state submitted claims for this procedure in 2023, performing 22 total services. Individual payments in VT 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 Vermont is $165.36, 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 Vermont 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 Vermont lands near $108.43, with self-pay cash prices typically around $82.44. 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 Vermont?

The average Medicare payment for Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in Vermont is $37.45, which is 3% below the national average of $38.70. Providers in VT typically bill $165.36 for this procedure.

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

With commercial insurance in Vermont, Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report costs an estimated $108.43. Without insurance, the estimated cash price is $82.44. 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 Vermont?

2 providers in Vermont billed Medicare for Blood Bank Physician Services For Cross Match And/or Evaluation And Written Report in 2023, performing 22 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 Vermont 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 Vermont. The state average Medicare payment is $37.45 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