87641

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique

Medicare pricing data for 1,391 providers across 42 states

🤖AI Overview

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 staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique (HCPCS code 87641) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $65.59 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.87

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.

Average Allowed Cost
$34.36
Average Hospital Charge
$65.59
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$65.59
Medicare Allowed$34.36
Medicare Payment$34.36

Hospitals charge 1.9x 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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$34$53786+0.1%
Georgia$34$8111258+0.1%
Idaho$34$7713124+0.1%
Illinois$34$60162,846+0.1%
Kentucky$34$39658+0.1%
Massachusetts$34$75540+0.1%
New York$34$7411390+0.1%
South Dakota$34$1345120+0.1%
Utah$34$10551,885+0.1%
Washington$34$14471,470+0.1%
Wyoming$34$366146+0.1%
Puerto Rico$34$42529+0.1%
Arizona$34$501412,182+0.1%
Florida$34$728833,820+0.1%
Indiana$34$41913,237+0.1%
Louisiana$34$556217,157+0.1%
New Jersey$34$96343,565+0.1%
Pennsylvania$34$483363,729+0.1%
Virginia$34$117277,706+0.1%
Colorado$34$87808,805+0.1%
Maryland$34$1138616,0650.0%
Texas$34$66288112,0480.0%
Michigan$34$8321686-0.1%
Mississippi$34$819010,224-0.1%
Missouri$34$94314,152-0.1%
Oklahoma$34$535420,665-0.1%
Kansas$34$130432,440-0.1%
Ohio$34$114321,097-0.1%
California$34$5510031,193-0.1%
Nebraska$34$6020352-0.1%
Arkansas$34$575616,458-0.2%
North Carolina$34$16591,367-0.2%
New Mexico$34$6513692-0.3%
Oregon$34$1166729-0.7%
North Dakota$34$17511355-0.8%
Iowa$34$1266159-0.9%
District of Columbia$34$385130-1.1%
Tennessee$34$8516390-1.2%
Alabama$34$61231,088-1.7%
Nevada$34$62443-2.2%
Alaska$31$1531127-9.4%
South Carolina$25$60725-27.9%

⚠️ 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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