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Red Blood Cell Mechanical Fragility

Pennsylvania rates for HCPCS 85547

A blood test that measures how easily red blood cells break apart when they are physically stressed in the laboratory. Cells that rupture more readily than normal point to a weakness in the red cell membrane, the outer wall that holds the cell together.

Rates data updated July 2026.

How much does Red Blood Cell Mechanical Fragility cost?

$8.13

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $19.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.08$6.76 to $8.13
FacilityA hospital or hospital-owned outpatient department$19.95$10.47 to $25.70

How much rates vary

Facilitymedian $20 · 10th to 90th $7 to $47Professionalmedian $7 · 10th to 90th $7 to $16
$10.0$100.0$1.0K$10.0Kfacility $20professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$20.42
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$20.42
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$61.66
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$13.18
Typical High
$28.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$10.96
Typical High
$20.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.13
Typical High
$12.59
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.55
Typical High
$14.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$21.38
Typical High
$32.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.24
Typical High
$25.12
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$34.67
Typical High
$74.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.51
Typical High
$12.30
United
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$8.51
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.75
Typical High
$14.79

Where Pennsylvania sits

The same service costs 2.6 times more in South Dakota than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $8.13 · 33rd of 51
SD $16.60RI $6.46

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.