Special gram or giemsa stain for microorganism
Medicare pricing data for 2,625 providers across 48 states
This procedure has a 8.6x markup — hospitals charge $35.88 but Medicare allows only $4.17. Uninsured patients may face bills 8.6 times higher than what insurance negotiates. 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
Special gram or giemsa stain for microorganism (HCPCS code 87205) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.17, but hospitals typically charge $35.88 — a 8.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $4.17, your out-of-pocket cost would be approximately $0.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 8.6x more than what Medicare allows for this procedure. Medicare actually pays $4.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Mississippi | $4 | $41 | 10 | 2,496 | +0.5% |
| Florida | $4 | $45 | 51 | 32,901 | +0.2% |
| Georgia | $4 | $19 | 28 | 19,090 | +0.2% |
| Kansas | $4 | $46 | 18 | 7,619 | +0.2% |
| Louisiana | $4 | $38 | 23 | 709 | +0.2% |
| Massachusetts | $4 | $41 | 260 | 7,050 | +0.2% |
| Missouri | $4 | $47 | 14 | 1,752 | +0.2% |
| Nebraska | $4 | $13 | 5 | 728 | +0.2% |
| Nevada | $4 | $43 | 7 | 1,549 | +0.2% |
| New Hampshire | $4 | $29 | 4 | 22 | +0.2% |
| New Jersey | $4 | $45 | 248 | 22,107 | +0.2% |
| New Mexico | $4 | $23 | 5 | 1,091 | +0.2% |
| New York | $4 | $34 | 162 | 6,181 | +0.2% |
| Pennsylvania | $4 | $37 | 16 | 4,706 | +0.2% |
| Rhode Island | $4 | $20 | 1 | 151 | +0.2% |
| Tennessee | $4 | $34 | 55 | 4,075 | +0.2% |
| Texas | $4 | $46 | 110 | 13,212 | +0.2% |
| Utah | $4 | $23 | 34 | 244 | +0.2% |
| Vermont | $4 | $23 | 27 | 62 | +0.2% |
| Puerto Rico | $4 | $5 | 63 | 418 | +0.2% |
| California | $4 | $32 | 107 | 32,755 | +0.2% |
| Colorado | $4 | $47 | 14 | 1,462 | +0.2% |
| Illinois | $4 | $46 | 25 | 5,745 | 0.0% |
| Iowa | $4 | $22 | 137 | 1,930 | 0.0% |
| Maine | $4 | $10 | 22 | 646 | 0.0% |
| Maryland | $4 | $38 | 12 | 3,042 | 0.0% |
| Michigan | $4 | $24 | 23 | 1,219 | 0.0% |
| Minnesota | $4 | $23 | 444 | 2,870 | 0.0% |
| North Carolina | $4 | $38 | 55 | 13,951 | 0.0% |
| North Dakota | $4 | $37 | 17 | 814 | 0.0% |
| Ohio | $4 | $29 | 22 | 5,488 | 0.0% |
| Oklahoma | $4 | $35 | 12 | 4,036 | 0.0% |
| Virginia | $4 | $18 | 53 | 5,478 | 0.0% |
| Alabama | $4 | $42 | 19 | 3,632 | 0.0% |
| Arizona | $4 | $32 | 80 | 8,870 | 0.0% |
| Hawaii | $4 | $17 | 3 | 2,800 | -0.2% |
| Oregon | $4 | $19 | 59 | 2,673 | -0.2% |
| South Dakota | $4 | $27 | 10 | 412 | -0.2% |
| Washington | $4 | $31 | 234 | 7,117 | -0.2% |
| Indiana | $4 | $32 | 11 | 1,217 | -0.5% |
| Kentucky | $4 | $27 | 24 | 664 | -1.0% |
| Connecticut | $4 | $32 | 4 | 201 | -1.0% |
| Idaho | $4 | $14 | 8 | 254 | -1.2% |
| Wyoming | $4 | $55 | 4 | 15 | -1.2% |
| Wisconsin | $4 | $39 | 29 | 5,451 | -1.4% |
| South Carolina | $4 | $18 | 22 | 102 | -4.1% |
| West Virginia | $4 | $67 | 7 | 18 | -4.6% |
| Arkansas | $4 | $13 | 6 | 28 | -9.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber