Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique
Medicare pricing data for 571 providers across 38 states
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
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique (HCPCS code 87486) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $60.25 — a 1.8x 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 $34.36, your out-of-pocket cost would be approximately $6.87. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $34.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $34 | $49 | 1 | 17 | +0.1% |
| District of Columbia | $34 | $35 | 1 | 111 | +0.1% |
| Florida | $34 | $63 | 55 | 8,064 | +0.1% |
| Georgia | $34 | $53 | 5 | 171 | +0.1% |
| Idaho | $34 | $42 | 2 | 15 | +0.1% |
| Illinois | $34 | $47 | 14 | 2,395 | +0.1% |
| Indiana | $34 | $53 | 5 | 509 | +0.1% |
| Kansas | $34 | $88 | 4 | 72 | +0.1% |
| Maryland | $34 | $74 | 6 | 312 | +0.1% |
| Michigan | $34 | $59 | 10 | 122 | +0.1% |
| Minnesota | $34 | $108 | 19 | 28 | +0.1% |
| Mississippi | $34 | $64 | 13 | 727 | +0.1% |
| Nebraska | $34 | $60 | 8 | 102 | +0.1% |
| Nevada | $34 | $86 | 5 | 422 | +0.1% |
| New Mexico | $34 | $114 | 8 | 447 | +0.1% |
| North Dakota | $34 | $122 | 1 | 27 | +0.1% |
| Pennsylvania | $34 | $51 | 12 | 7,899 | +0.1% |
| Tennessee | $34 | $43 | 3 | 31 | +0.1% |
| Utah | $34 | $105 | 1 | 170 | +0.1% |
| Wisconsin | $34 | $105 | 5 | 2,945 | +0.1% |
| Arizona | $34 | $51 | 5 | 1,262 | +0.1% |
| Arkansas | $34 | $50 | 4 | 286 | +0.1% |
| New Jersey | $34 | $88 | 27 | 7,692 | +0.1% |
| California | $34 | $50 | 65 | 40,250 | +0.1% |
| New York | $34 | $71 | 16 | 16,834 | +0.0% |
| Texas | $34 | $61 | 109 | 61,148 | +0.0% |
| Colorado | $34 | $39 | 4 | 1,231 | +0.0% |
| Oklahoma | $34 | $43 | 10 | 3,989 | -0.0% |
| North Carolina | $34 | $51 | 5 | 430 | -0.1% |
| Ohio | $34 | $67 | 22 | 493 | -0.1% |
| Virginia | $34 | $61 | 4 | 400 | -0.1% |
| Kentucky | $34 | $102 | 6 | 186 | -0.4% |
| Missouri | $34 | $53 | 2 | 1,546 | -0.4% |
| Oregon | $34 | $63 | 24 | 158 | -0.5% |
| Louisiana | $34 | $75 | 21 | 936 | -0.6% |
| Washington | $34 | $51 | 22 | 267 | -1.3% |
| Alabama | $33 | $45 | 32 | 1,787 | -3.9% |
| South Carolina | $32 | $47 | 5 | 17 | -5.8% |
⚠️ 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