Detection test by nucleic acid for multiple organisms, amplified probe(s) technique
Medicare pricing data for 1,981 providers across 43 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 multiple organisms, amplified probe(s) technique (HCPCS code 87801) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.01, but hospitals typically charge $163.04 — a 2.4x 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 $68.01, your out-of-pocket cost would be approximately $13.60. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $68.01 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $69 | $140 | 1 | 105 | +1.2% |
| District of Columbia | $69 | $149 | 15 | 220 | +1.2% |
| Kentucky | $69 | $104 | 7 | 26 | +1.2% |
| Nevada | $69 | $379 | 2 | 79 | +1.2% |
| New Hampshire | $69 | $143 | 4 | 27 | +1.2% |
| Rhode Island | $69 | $140 | 24 | 1,084 | +1.2% |
| Utah | $69 | $205 | 5 | 240 | +1.2% |
| Wisconsin | $69 | $248 | 30 | 558 | +1.2% |
| Puerto Rico | $69 | $82 | 2 | 27 | +1.2% |
| Alaska | $69 | $368 | 9 | 30 | +1.2% |
| Washington | $69 | $349 | 17 | 1,171 | +1.1% |
| Indiana | $69 | $154 | 15 | 102 | +1.1% |
| Virginia | $69 | $313 | 37 | 2,446 | +1.1% |
| Massachusetts | $69 | $352 | 64 | 12,571 | +1.1% |
| California | $69 | $147 | 70 | 21,903 | +1.1% |
| Pennsylvania | $69 | $182 | 38 | 11,530 | +1.1% |
| Maryland | $69 | $149 | 97 | 12,320 | +1.0% |
| Oklahoma | $69 | $119 | 46 | 45,471 | +1.0% |
| Arkansas | $69 | $112 | 19 | 7,902 | +1.0% |
| Illinois | $69 | $153 | 88 | 22,354 | +1.0% |
| Florida | $69 | $138 | 99 | 152,885 | +1.0% |
| New Mexico | $69 | $155 | 8 | 1,165 | +0.9% |
| Iowa | $69 | $141 | 14 | 761 | +0.9% |
| Louisiana | $69 | $128 | 40 | 1,862 | +0.9% |
| New Jersey | $69 | $244 | 35 | 23,744 | +0.9% |
| New York | $69 | $257 | 137 | 26,754 | +0.8% |
| Arizona | $69 | $189 | 16 | 1,431 | +0.7% |
| Colorado | $68 | $172 | 61 | 28,151 | +0.6% |
| Mississippi | $68 | $185 | 48 | 13,206 | +0.6% |
| Minnesota | $68 | $323 | 493 | 1,422 | +0.6% |
| Missouri | $68 | $286 | 20 | 325 | +0.5% |
| Georgia | $68 | $236 | 11 | 392 | +0.4% |
| Tennessee | $68 | $142 | 7 | 285 | +0.3% |
| West Virginia | $68 | $337 | 3 | 219 | +0.2% |
| Kansas | $68 | $202 | 30 | 1,107 | +0.2% |
| Oregon | $68 | $119 | 16 | 81 | -0.2% |
| North Carolina | $67 | $296 | 11 | 737 | -1.5% |
| Texas | $66 | $152 | 208 | 153,193 | -2.4% |
| Connecticut | $66 | $200 | 13 | 27 | -2.5% |
| Nebraska | $66 | $130 | 14 | 474 | -3.6% |
| Alabama | $65 | $115 | 52 | 248 | -3.9% |
| Ohio | $64 | $197 | 12 | 54 | -6.2% |
| Michigan | $63 | $135 | 16 | 623 | -6.9% |
⚠️ 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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