Concentration of specimen for infectious agents
Medicare pricing data for 420 providers across 39 states
This procedure has a 5.7x markup — hospitals charge $37.29 but Medicare allows only $6.54. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. 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
Concentration of specimen for infectious agents (HCPCS code 87015) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.54, but hospitals typically charge $37.29 — a 5.7x 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 $6.54, your out-of-pocket cost would be approximately $1.31. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $6.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $7 | $60 | 56 | 991 | +0.3% |
| Florida | $7 | $48 | 18 | 4,217 | +0.2% |
| Georgia | $7 | $53 | 1 | 568 | +0.2% |
| Hawaii | $7 | $24 | 2 | 1,651 | +0.2% |
| Indiana | $7 | $42 | 3 | 52 | +0.2% |
| Iowa | $7 | $25 | 7 | 269 | +0.2% |
| Kansas | $7 | $52 | 5 | 579 | +0.2% |
| Kentucky | $7 | $16 | 1 | 38 | +0.2% |
| Maine | $7 | $49 | 1 | 91 | +0.2% |
| Maryland | $7 | $52 | 5 | 284 | +0.2% |
| Michigan | $7 | $14 | 4 | 25 | +0.2% |
| Missouri | $7 | $49 | 2 | 23 | +0.2% |
| New Hampshire | $7 | $22 | 43 | 93 | +0.2% |
| New Mexico | $7 | $98 | 1 | 108 | +0.2% |
| New York | $7 | $50 | 28 | 1,903 | +0.2% |
| North Carolina | $7 | $41 | 4 | 4,972 | +0.2% |
| North Dakota | $7 | $44 | 3 | 67 | +0.2% |
| Pennsylvania | $7 | $57 | 5 | 117 | +0.2% |
| Rhode Island | $7 | $11 | 2 | 31 | +0.2% |
| Tennessee | $7 | $54 | 4 | 623 | +0.2% |
| Utah | $7 | $19 | 4 | 39 | +0.2% |
| Virginia | $7 | $36 | 9 | 300 | +0.2% |
| Puerto Rico | $7 | $7 | 9 | 34 | +0.2% |
| California | $7 | $43 | 50 | 8,774 | +0.2% |
| Colorado | $7 | $36 | 4 | 48 | +0.2% |
| Nevada | $7 | $52 | 1 | 623 | 0.0% |
| Texas | $7 | $22 | 22 | 13,027 | 0.0% |
| Alabama | $7 | $37 | 4 | 1,384 | 0.0% |
| Arizona | $7 | $32 | 4 | 1,381 | 0.0% |
| Illinois | $7 | $52 | 6 | 297 | -0.2% |
| New Jersey | $7 | $43 | 9 | 3,659 | -0.2% |
| Ohio | $7 | $36 | 9 | 759 | -0.2% |
| Washington | $7 | $32 | 9 | 569 | -0.2% |
| Massachusetts | $7 | $50 | 6 | 410 | -0.5% |
| Oklahoma | $7 | $47 | 3 | 640 | -0.5% |
| Oregon | $7 | $18 | 31 | 234 | -0.5% |
| South Dakota | $6 | $40 | 19 | 185 | -0.9% |
| Wisconsin | $6 | $41 | 7 | 693 | -2.9% |
| Mississippi | $6 | $31 | 3 | 14 | -14.5% |
⚠️ 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