Measurement of rna of bacteria in vaginal fluid specimen
Medicare pricing data for 676 providers across 33 states
Prices vary significantly by location — from $70 in Connecticut to $142 in Kansas. Where you get this procedure matters more than almost any other factor. 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
Measurement of rna of bacteria in vaginal fluid specimen (HCPCS code 81513) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $138.08, but hospitals typically charge $331.25 — 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 $138.08, your out-of-pocket cost would be approximately $27.62. 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 $138.08 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Kansas | $142 | $352 | 3 | 348 | +2.8% |
| Delaware | $140 | $357 | 1 | 23 | +1.2% |
| Indiana | $140 | $189 | 15 | 241 | +1.2% |
| Kentucky | $140 | $423 | 3 | 602 | +1.2% |
| Maryland | $140 | $341 | 1 | 1,151 | +1.2% |
| New Hampshire | $140 | $156 | 1 | 138 | +1.2% |
| New Jersey | $140 | $342 | 4 | 4,665 | +1.2% |
| Oklahoma | $140 | $328 | 3 | 396 | +1.2% |
| South Carolina | $140 | $298 | 2 | 12 | +1.2% |
| Virginia | $140 | $182 | 3 | 106 | +1.2% |
| Massachusetts | $140 | $338 | 23 | 3,644 | +1.2% |
| Pennsylvania | $140 | $288 | 6 | 3,084 | +1.1% |
| Illinois | $139 | $339 | 19 | 3,429 | +0.9% |
| Ohio | $139 | $237 | 4 | 1,191 | +0.9% |
| Florida | $139 | $370 | 15 | 7,840 | +0.9% |
| California | $139 | $362 | 43 | 5,068 | +0.8% |
| Arizona | $139 | $378 | 57 | 1,159 | +0.7% |
| Tennessee | $139 | $204 | 3 | 501 | +0.6% |
| New Mexico | $139 | $320 | 2 | 550 | +0.5% |
| Minnesota | $139 | $240 | 40 | 102 | +0.5% |
| Louisiana | $139 | $258 | 22 | 104 | +0.5% |
| Wisconsin | $139 | $299 | 2 | 1,334 | +0.4% |
| Texas | $138 | $315 | 74 | 2,094 | +0.3% |
| Oregon | $138 | $201 | 78 | 933 | +0.3% |
| Puerto Rico | $138 | $142 | 2 | 91 | +0.2% |
| Washington | $138 | $336 | 168 | 727 | +0.2% |
| Georgia | $138 | $341 | 3 | 328 | +0.1% |
| New York | $138 | $387 | 46 | 1,736 | +0.1% |
| North Carolina | $137 | $425 | 3 | 188 | -0.7% |
| Colorado | $135 | $328 | 3 | 516 | -2.2% |
| Michigan | $113 | $135 | 3 | 35 | -18.0% |
| Nevada | $111 | $172 | 3 | 206 | -19.6% |
| Connecticut | $70 | $93 | 13 | 625 | -49.4% |
⚠️ 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