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See a sample rate comparisonCPT 85345 Fee Schedule
Medicare rates as of January 2026
CPT 85345 is classified under Pathology and Laboratory Procedures, in the Hematology and Coagulation Procedures subgroup.
Coagulation Time; Lee & White
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.69 national lab fee schedule rate (2026) · View Medicare rates for 85345 |
| Medicaid Fee Schedule | $4.63 median of the 8 states in the free preview · View Medicaid rates for 85345 |
National average reimbursement for CPT 85345 by major payers:
$4.20
BCBS / Anthem
$3.15
UnitedHealthcare
$5.25
Aetna
$6.85
Cigna
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CPT 85345
5 of 25 sample ratesHigher to lower in this preview
Woodlands Specialty Hospital
$12.00Published rateChristopher Raio
St Francis Hospital
$5.90Published rateUs Health Partners, LLC
Us Health Partners LLC
$4.69Published rateChristopher Raio
St Francis Hospital
$2.81Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$1.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 85345 vs. Other Hematology and Coagulation Procedures Codes
The table lists codes related to 85345. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 85345-CPT | Low | Coagulation Time; Lee & White |
| 85347-CPT | Low | Coagulation Time (Clotting), This Test Measures How Long Before Whole Blood Begins To Clot. It Is A Baseline Check Of Blood Clotting Function And Often Done When A Person Is Taking Anticoagulant Drugs. |
| 85348-CPT | Low | Coagulation Time (Clotting), This Test Measures How Long Before Whole Blood Begins To Clot. It Is A Baseline Check Of Blood Clotting Function And Often Done When A Person Is Taking Anticoagulant Drugs. |
| 85360-CPT | Low | Blood Clot Absorption Test, This Test Measures The Amount Of Time A Clot Takes To Dissolve Fully Into The Blood. Results Indicate The Health Of This Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85345 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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