Bacterial culture for anaerobic isolates
Medicare pricing data for 340 providers across 36 states
This procedure has a 5.8x markup — hospitals charge $45.82 but Medicare allows only $7.90. Uninsured patients may face bills 5.8 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
Bacterial culture for anaerobic isolates (HCPCS code 87076) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.90, but hospitals typically charge $45.82 — a 5.8x 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 $7.90, your out-of-pocket cost would be approximately $1.58. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $7.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $8 | $50 | 18 | 4,354 | +0.3% |
| Georgia | $8 | $53 | 4 | 732 | +0.3% |
| Hawaii | $8 | $29 | 2 | 279 | +0.3% |
| Iowa | $8 | $45 | 7 | 96 | +0.3% |
| Kentucky | $8 | $27 | 5 | 39 | +0.3% |
| Louisiana | $8 | $28 | 3 | 66 | +0.3% |
| Maryland | $8 | $44 | 3 | 153 | +0.3% |
| Massachusetts | $8 | $50 | 6 | 413 | +0.3% |
| Michigan | $8 | $27 | 3 | 15 | +0.3% |
| Mississippi | $8 | $52 | 2 | 33 | +0.3% |
| Missouri | $8 | $52 | 4 | 197 | +0.3% |
| Nebraska | $8 | $25 | 1 | 110 | +0.3% |
| Nevada | $8 | $49 | 2 | 89 | +0.3% |
| New York | $8 | $27 | 36 | 228 | +0.3% |
| North Dakota | $8 | $45 | 3 | 38 | +0.3% |
| Oregon | $8 | $19 | 2 | 64 | +0.3% |
| Pennsylvania | $8 | $51 | 6 | 354 | +0.3% |
| South Dakota | $8 | $53 | 3 | 54 | +0.3% |
| New Jersey | $8 | $54 | 16 | 2,860 | +0.1% |
| Ohio | $8 | $58 | 8 | 568 | +0.1% |
| California | $8 | $48 | 30 | 4,044 | +0.1% |
| Colorado | $8 | $58 | 4 | 545 | +0.1% |
| Kansas | $8 | $55 | 9 | 805 | 0.0% |
| North Carolina | $8 | $54 | 3 | 1,277 | 0.0% |
| Oklahoma | $8 | $37 | 4 | 607 | 0.0% |
| Tennessee | $8 | $46 | 7 | 367 | 0.0% |
| Illinois | $8 | $40 | 9 | 829 | -0.1% |
| Texas | $8 | $33 | 26 | 5,027 | -0.1% |
| Alabama | $8 | $36 | 4 | 659 | -0.1% |
| Arizona | $8 | $33 | 5 | 457 | -0.1% |
| Virginia | $8 | $25 | 4 | 172 | -0.3% |
| Utah | $8 | $49 | 4 | 133 | -0.4% |
| Washington | $8 | $46 | 14 | 814 | -0.5% |
| Wisconsin | $8 | $70 | 8 | 821 | -0.5% |
| Minnesota | $8 | $51 | 53 | 128 | -1.3% |
| Indiana | $8 | $23 | 4 | 172 | -1.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber