Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
Medicare pricing data for 91,614 providers across 52 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 immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS code 87880) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.04, but hospitals typically charge $44.53 — a 2.8x 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 $16.04, your out-of-pocket cost would be approximately $3.21. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $16.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $16 | $42 | 1,069 | 6,341 | +0.6% |
| Delaware | $16 | $35 | 349 | 3,464 | +0.6% |
| District of Columbia | $16 | $47 | 261 | 1,721 | +0.5% |
| Massachusetts | $16 | $50 | 2,855 | 18,562 | +0.5% |
| New Jersey | $16 | $41 | 2,290 | 25,620 | +0.5% |
| Pennsylvania | $16 | $48 | 3,452 | 21,800 | +0.5% |
| Maine | $16 | $54 | 251 | 1,072 | +0.4% |
| New Hampshire | $16 | $64 | 483 | 3,239 | +0.4% |
| New York | $16 | $42 | 4,480 | 52,034 | +0.4% |
| Rhode Island | $16 | $39 | 423 | 3,188 | +0.4% |
| Vermont | $16 | $41 | 233 | 1,043 | +0.4% |
| Florida | $16 | $45 | 4,878 | 36,519 | +0.4% |
| California | $16 | $49 | 5,320 | 33,050 | +0.3% |
| Minnesota | $16 | $43 | 745 | 2,785 | +0.2% |
| South Dakota | $16 | $56 | 128 | 563 | +0.2% |
| Wisconsin | $16 | $89 | 1,215 | 5,462 | +0.2% |
| Kansas | $16 | $45 | 729 | 4,395 | +0.2% |
| Maryland | $16 | $43 | 2,251 | 31,711 | +0.2% |
| North Dakota | $16 | $55 | 82 | 462 | +0.2% |
| Texas | $16 | $51 | 8,562 | 75,310 | +0.2% |
| Arkansas | $16 | $38 | 1,389 | 13,227 | +0.2% |
| Nevada | $16 | $48 | 579 | 3,220 | +0.1% |
| Puerto Rico | $16 | $48 | 15 | 75 | +0.1% |
| Illinois | $16 | $52 | 3,506 | 27,538 | +0.1% |
| North Carolina | $16 | $46 | 3,969 | 24,654 | +0.1% |
| Alaska | $16 | $61 | 232 | 960 | +0.1% |
| Arizona | $16 | $44 | 1,964 | 11,277 | +0.1% |
| Colorado | $16 | $43 | 1,432 | 5,793 | +0.1% |
| Georgia | $16 | $46 | 3,687 | 38,459 | 0.0% |
| Kentucky | $16 | $38 | 2,387 | 24,124 | -0.1% |
| Ohio | $16 | $40 | 3,441 | 16,741 | -0.1% |
| West Virginia | $16 | $47 | 627 | 6,239 | -0.1% |
| Indiana | $16 | $43 | 2,543 | 14,722 | -0.1% |
| Louisiana | $16 | $45 | 1,436 | 12,664 | -0.1% |
| South Carolina | $16 | $45 | 2,183 | 22,067 | -0.2% |
| Utah | $16 | $30 | 966 | 5,022 | -0.2% |
| Virginia | $16 | $43 | 3,284 | 37,137 | -0.2% |
| Nebraska | $16 | $39 | 680 | 3,544 | -0.3% |
| Oklahoma | $16 | $40 | 1,487 | 17,437 | -0.4% |
| Tennessee | $16 | $41 | 3,603 | 40,631 | -0.4% |
| Michigan | $16 | $37 | 2,486 | 13,422 | -0.4% |
| Mississippi | $16 | $40 | 1,225 | 20,513 | -0.4% |
| Montana | $16 | $44 | 206 | 737 | -0.4% |
| Wyoming | $16 | $46 | 215 | 1,092 | -0.6% |
| Iowa | $16 | $42 | 907 | 5,386 | -0.6% |
| New Mexico | $16 | $47 | 575 | 5,062 | -0.7% |
| Oregon | $16 | $39 | 760 | 2,401 | -0.7% |
| Washington | $16 | $44 | 1,351 | 5,054 | -0.8% |
| Idaho | $16 | $37 | 319 | 1,045 | -1.2% |
| Missouri | $16 | $53 | 1,653 | 10,722 | -1.2% |
| Alabama | $16 | $32 | 2,213 | 26,121 | -1.2% |
| Hawaii | $16 | $38 | 180 | 1,328 | -1.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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