81514

Measurement of dna of bacteria in vaginal fluid specimen

Medicare pricing data for 654 providers across 22 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 dna of bacteria in vaginal fluid specimen (HCPCS code 81514) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $253.31, but hospitals typically charge $443.11 — a 1.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$50.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $253.31, your out-of-pocket cost would be approximately $50.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$253.31
Average Hospital Charge
$443.11
Markup Ratio
1.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$443.11
Medicare Allowed$253.31
Medicare Payment$253.31

Hospitals charge 1.7x more than what Medicare allows for this procedure. Medicare actually pays $253.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Idaho$258$325125+1.7%
Illinois$258$5946186+1.7%
Indiana$258$6601101+1.7%
Iowa$258$300522+1.7%
Louisiana$258$57235137+1.7%
Washington$258$5071377+1.7%
New Jersey$258$3083395+1.7%
Virginia$258$6553172+1.7%
Arizona$257$31915694+1.6%
Massachusetts$257$719269658+1.6%
New York$257$63565530+1.6%
California$257$46411736+1.4%
Alabama$257$3602102+1.3%
Florida$257$843361+1.3%
Michigan$256$4745241+1.0%
Pennsylvania$256$31251,405+1.0%
Texas$255$42856922+0.8%
Maryland$254$40921300+0.1%
Ohio$250$2834891-1.4%
Oregon$231$2954293-8.9%
Minnesota$208$2762020-17.8%
Utah$152$1634181-39.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber