Stool culture
Medicare pricing data for 1,063 providers across 45 states
This procedure has a 6.0x markup — hospitals charge $55.28 but Medicare allows only $9.23. Uninsured patients may face bills 6.0 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
Stool culture (HCPCS code 87045) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.23, but hospitals typically charge $55.28 — a 6.0x 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 $9.23, your out-of-pocket cost would be approximately $1.85. 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 6.0x more than what Medicare allows for this procedure. Medicare actually pays $9.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $9 | $53 | 49 | 13,410 | +0.2% |
| Georgia | $9 | $55 | 38 | 2,120 | +0.2% |
| Indiana | $9 | $58 | 6 | 201 | +0.2% |
| Iowa | $9 | $38 | 8 | 309 | +0.2% |
| Kansas | $9 | $44 | 8 | 252 | +0.2% |
| Louisiana | $9 | $60 | 19 | 403 | +0.2% |
| Massachusetts | $9 | $53 | 10 | 3,207 | +0.2% |
| Missouri | $9 | $54 | 6 | 2,707 | +0.2% |
| Nebraska | $9 | $20 | 1 | 92 | +0.2% |
| Nevada | $9 | $44 | 4 | 869 | +0.2% |
| New Hampshire | $9 | $30 | 42 | 92 | +0.2% |
| New Mexico | $9 | $51 | 3 | 38 | +0.2% |
| Utah | $9 | $61 | 5 | 207 | +0.2% |
| Wyoming | $9 | $63 | 1 | 20 | +0.2% |
| Puerto Rico | $9 | $10 | 93 | 240 | +0.2% |
| Colorado | $9 | $53 | 6 | 443 | +0.2% |
| Maryland | $9 | $52 | 10 | 1,195 | +0.1% |
| New Jersey | $9 | $62 | 18 | 12,675 | +0.1% |
| New York | $9 | $71 | 97 | 3,550 | +0.1% |
| North Carolina | $9 | $56 | 14 | 17,884 | +0.1% |
| Ohio | $9 | $59 | 27 | 4,438 | +0.1% |
| Pennsylvania | $9 | $51 | 10 | 1,119 | +0.1% |
| Tennessee | $9 | $34 | 10 | 1,384 | +0.1% |
| Texas | $9 | $54 | 83 | 10,839 | +0.1% |
| Arizona | $9 | $60 | 62 | 8,908 | +0.1% |
| Hawaii | $9 | $30 | 2 | 861 | 0.0% |
| Illinois | $9 | $52 | 24 | 2,321 | 0.0% |
| California | $9 | $53 | 80 | 11,732 | 0.0% |
| Kentucky | $9 | $36 | 41 | 554 | -0.1% |
| Minnesota | $9 | $57 | 32 | 127 | -0.1% |
| Oklahoma | $9 | $56 | 14 | 1,353 | -0.1% |
| Rhode Island | $9 | $153 | 1 | 257 | -0.1% |
| Virginia | $9 | $37 | 25 | 2,056 | -0.1% |
| Alabama | $9 | $65 | 23 | 4,468 | -0.1% |
| Oregon | $9 | $29 | 42 | 1,092 | -0.2% |
| South Dakota | $9 | $52 | 20 | 342 | -0.2% |
| Michigan | $9 | $33 | 13 | 317 | -0.3% |
| Mississippi | $9 | $82 | 11 | 262 | -0.4% |
| Maine | $9 | $27 | 3 | 95 | -0.5% |
| Wisconsin | $9 | $71 | 6 | 1,441 | -0.5% |
| North Dakota | $9 | $38 | 11 | 132 | -1.1% |
| Washington | $9 | $49 | 24 | 3,586 | -1.6% |
| Arkansas | $9 | $37 | 36 | 82 | -1.8% |
| Connecticut | $9 | $56 | 3 | 52 | -2.9% |
| South Carolina | $9 | $28 | 13 | 60 | -6.1% |
⚠️ 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