CPT 85379 Pathology/Laboratory

How Much Does Coagulation Function Measurement, D-dimer; Quantitative Cost?

Also known as: Coagulation function measurement, D-dimer; quantitative (CPT 85379)

A D-dimer blood test that helps rule out blood clots in your body.

Coagulation Function Measurement, D-dimer; Quantitative (CPT 85379) costs $10 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$10
CMS PFS 2026 national rate

Patient Guide: Coagulation Function Measurement, D-dimer; Quantitative

What you need to know before your appointment

What to Expect

A blood sample is drawn from your arm. D-dimer is a substance released when a blood clot dissolves. A normal result makes blood clots unlikely.

How Long Does It Take?

5-10 minutes for the blood draw

Common Reasons Doctors Order This

Suspected blood clot (DVT or PE), leg swelling evaluation, shortness of breath evaluation, post-surgical clot screening

How to Prepare

No fasting or special preparation needed.

Procedures Commonly Done Together

These procedures are frequently performed alongside Coagulation function measurement, D-dimer; quantitative

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How to Reduce Your Cost for Coagulation function measurement, D-dimer; quantitative

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

Frequently Asked Questions

How much does Coagulation function measurement, D-dimer; quantitative cost?

The Medicare facility rate for Coagulation function measurement, D-dimer; quantitative is $10. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Coagulation function measurement, D-dimer; quantitative cost without insurance?

Without insurance, the cost of Coagulation function measurement, D-dimer; quantitative can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Coagulation function measurement, D-dimer; quantitative?

Most commercial health insurance plans and Medicare cover Coagulation function measurement, D-dimer; quantitative when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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