How much does Medicare pay for CPT 85014?

Medicare allowed an average of $2.31 per service and paid $2.31 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $14.01, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 85014?

Red blood cell concentration measurement. It was billed 204,336 times to 129,901 Medicare beneficiaries by 1,104 providers in 2024.

Does 85014 pay differently in an office than a hospital?

Yes. The allowed amount averaged $2.31 in an office setting and $2.29 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 85014 most?

Clinical Laboratory, with 156,558 services from 302 clinicians. Next are Nurse Practitioner, Nephrology, Urology.

CPT 85014

Red blood cell concentration measurement

$2.31Medicare-allowed amount per service, averaged across 204,336 services

Providers submitted

$14.01

Asking price, not received

Medicare allowed

$2.31

The fee schedule figure

Medicare paid

$2.31

Balance is patient coinsurance

Providers submitted an average of $14.01 for this code and Medicare allowed $2.31 — 6.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $2.31 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $2.31
Hospital / facility: $2.29

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 204,091 services were billed in an office setting and 245 in a facility.

Services: 204,336
Beneficiaries: 129,901
Providers billing it: 1,104
Total allowed: $472,016

What Medicare pays for CPT 85014

Across 204,336 services billed by 1,104 providers to 129,901 beneficiaries, Medicare allowed an average of $2.31 per service. That is 1.6 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 85014

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	156,558	95,620	$2.32	302
Nurse Practitioner	9,058	7,763	$2.31	201
Nephrology	7,934	4,322	$2.31	58
Urology	5,129	3,678	$2.30	99
Pathology	4,351	2,707	$2.31	32
Family Practice	4,089	2,679	$2.31	68
Internal Medicine	3,498	2,604	$2.27	67
Physician Assistant	3,417	2,940	$2.31	107
Diagnostic Radiology	1,416	1,384	$2.31	11
Hematology-Oncology	1,395	905	$2.30	25
Vascular Surgery	1,274	916	$2.30	30
Cardiology	1,059	776	$2.32	18
Gastroenterology	843	513	$2.28	5
Rheumatology	694	175	$2.32	2
Emergency Medicine	634	604	$2.32	25

85014 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	20,086	$2.31	$2.32	120
Florida	18,776	$2.35	$2.32	72
Tennessee	16,801	$2.31	$2.32	35
California	16,653	$2.31	$2.32	94
New Jersey	14,348	$2.32	$2.32	22
North Carolina	14,292	$2.32	$2.32	36
Ohio	11,278	$2.31	$2.32	38
Georgia	9,600	$2.31	$2.32	23
Alabama	7,311	$2.31	$2.32	47
Arizona	7,186	$2.30	$2.32	30
Massachusetts	6,560	$2.32	$2.32	21
New York	5,641	$2.31	$2.32	61
Virginia	5,087	$2.31	$2.32	48
Pennsylvania	4,484	$2.32	$2.32	16
Illinois	4,457	$2.31	$2.32	28
Kansas	4,147	$2.32	$2.32	14
Wisconsin	4,076	$2.24	$2.32	29
Maryland	3,724	$2.31	$2.32	16
Washington	3,302	$2.32	$2.32	40
Colorado	2,826	$2.32	$2.32	39
Arkansas	2,145	$2.31	$2.32	33
Nevada	2,068	$2.32	$2.32	4
Iowa	1,804	$2.32	$2.32	35
Louisiana	1,695	$2.31	$2.32	11
Oklahoma	1,579	$2.32	$2.32	11
Utah	1,574	$2.31	$2.32	12
South Carolina	1,456	$2.31	$2.32	28
Mississippi	1,414	$2.30	$2.32	18
Hawaii	1,366	$2.32	$2.32	2
Indiana	1,134	$2.30	$2.32	21
Oregon	937	$2.30	$2.32	11
Kentucky	791	$2.32	$2.32	7
Minnesota	754	$2.30	$2.32	17
Nebraska	728	$2.32	$2.32	4
Missouri	696	$2.32	$2.32	9
New Mexico	637	$2.32	$2.32	3
Michigan	569	$2.31	$2.32	11
Rhode Island	482	$2.32	$2.32	2
South Dakota	432	$2.32	$2.32	9
Delaware	332	$2.32	$2.32	1
Puerto Rico	191	$2.33	$2.32	2
Maine	175	$2.32	$2.32	2
Connecticut	170	$2.30	$2.32	3
New Hampshire	106	$2.32	$2.32	2
North Dakota	104	$2.32	$2.32	4
Alaska	85	$2.30	$2.32	2
West Virginia	82	$2.29	$2.32	1
Wyoming	74	$2.32	$2.32	3
Idaho	70	$2.32	$2.32	3
District of Columbia	27	$2.32	$2.32	2
Montana	24	$2.32	$2.32	2

Related codes

85025Complete blood cell count (red cells$7.59
85027Complete blood cell count (red cells$6.33
85045Red blood count$3.90
85018Blood count, hemoglobin$2.31
85007Microscopic examination for white blood cells$3.71
85060Blood smear interpretation by physician$23.02
85097Bone marrow, smear interpretation$51.39
85046Red blood count automated$5.44
85044Red blood count$4.21
85055Reticulated (young) platelet measurement$34.89
85048Automated white blood cell count$2.47
85049Platelet count$4.37

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.