87077

Bacterial culture for aerobic isolates

Medicare pricing data for 8,469 providers across 49 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.9 million services annually. Even small pricing inefficiencies here affect millions of patients. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Bacterial culture for aerobic isolates (HCPCS code 87077) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.91, but hospitals typically charge $31.52 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $7.91, your out-of-pocket cost would be approximately $1.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$7.91
Average Hospital Charge
$31.52
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$31.52
Medicare Allowed$7.91
Medicare Payment$7.91

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $7.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$8$31534213,277+0.1%
Kansas$8$384352,488+0.1%
Maryland$8$342132,062+0.1%
Massachusetts$8$3162267,444+0.1%
Missouri$8$352312,854+0.1%
Nevada$8$29712,562+0.1%
New Hampshire$8$281011,161+0.1%
New Mexico$8$28105,573+0.1%
New York$8$451,14784,318+0.1%
Pennsylvania$8$324037,529+0.1%
Tennessee$8$4913733,906+0.1%
Wyoming$8$831171+0.1%
Delaware$8$1631,2240.0%
Georgia$8$3214967,1310.0%
Illinois$8$3015162,5320.0%
Nebraska$8$25197,1500.0%
New Jersey$8$31647216,2390.0%
North Carolina$8$30224151,9900.0%
Oklahoma$8$271731,1250.0%
Rhode Island$8$2243,1910.0%
South Dakota$8$72626,5710.0%
Texas$8$27685188,9580.0%
Arizona$8$2417166,2140.0%
Arkansas$8$19508,2140.0%
Louisiana$8$321169,201-0.1%
Michigan$8$28308,234-0.1%
Ohio$8$2937866,427-0.1%
Virginia$8$3522634,383-0.1%
California$8$33150216,321-0.1%
Colorado$8$282120,368-0.1%
Hawaii$8$2538,548-0.3%
Indiana$8$2410611,312-0.3%
Iowa$8$2820312,587-0.3%
Kentucky$8$37646,861-0.3%
Maine$8$1862,294-0.3%
Minnesota$8$4795713,647-0.3%
Utah$8$321667,758-0.3%
Puerto Rico$8$973590-0.3%
Idaho$8$40342,886-0.4%
North Dakota$8$49393,860-0.4%
Oregon$8$1915018,590-0.4%
South Carolina$8$20629,651-0.4%
Washington$8$2650641,709-0.4%
West Virginia$8$3822404-0.4%
Connecticut$8$33171,375-0.4%
Mississippi$8$47373,393-0.5%
Wisconsin$8$6016020,419-0.8%
Alabama$8$254862,723-0.8%
District of Columbia$8$143198-2.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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