Screening test for pathogenic organisms
Medicare pricing data for 2,188 providers across 49 states
This procedure has a 9.2x markup — hospitals charge $59.77 but Medicare allows only $6.48. Uninsured patients may face bills 9.2 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
Screening test for pathogenic organisms (HCPCS code 87081) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.48, but hospitals typically charge $59.77 — a 9.2x 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 $6.48, your out-of-pocket cost would be approximately $1.30. 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 9.2x more than what Medicare allows for this procedure. Medicare actually pays $6.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $7 | $7 | 34 | 349 | +0.5% |
| District of Columbia | $7 | $24 | 4 | 34 | +0.3% |
| Florida | $7 | $72 | 33 | 4,146 | +0.3% |
| Hawaii | $7 | $23 | 2 | 181 | +0.3% |
| Idaho | $7 | $37 | 5 | 19 | +0.3% |
| Indiana | $7 | $49 | 19 | 200 | +0.3% |
| Maine | $7 | $24 | 25 | 79 | +0.3% |
| Michigan | $7 | $20 | 22 | 290 | +0.3% |
| Mississippi | $7 | $47 | 7 | 455 | +0.3% |
| Nebraska | $7 | $20 | 1 | 118 | +0.3% |
| Nevada | $7 | $82 | 2 | 251 | +0.3% |
| New Hampshire | $7 | $21 | 39 | 283 | +0.3% |
| New Mexico | $7 | $44 | 3 | 168 | +0.3% |
| Oklahoma | $7 | $70 | 9 | 393 | +0.3% |
| Rhode Island | $7 | $43 | 1 | 206 | +0.3% |
| South Dakota | $7 | $43 | 10 | 91 | +0.3% |
| West Virginia | $7 | $37 | 7 | 45 | +0.3% |
| California | $7 | $64 | 62 | 18,078 | +0.3% |
| Colorado | $7 | $80 | 10 | 1,378 | +0.3% |
| Georgia | $6 | $98 | 15 | 1,025 | +0.2% |
| Kansas | $6 | $82 | 17 | 1,745 | +0.2% |
| Louisiana | $6 | $29 | 49 | 367 | +0.2% |
| Massachusetts | $6 | $65 | 437 | 5,291 | +0.2% |
| New Jersey | $6 | $56 | 25 | 8,948 | +0.2% |
| New York | $6 | $39 | 164 | 8,464 | +0.2% |
| North Carolina | $6 | $74 | 77 | 8,275 | +0.2% |
| North Dakota | $6 | $26 | 9 | 177 | +0.2% |
| Ohio | $6 | $72 | 12 | 3,549 | +0.2% |
| Tennessee | $6 | $63 | 26 | 686 | +0.2% |
| Arizona | $6 | $60 | 155 | 2,643 | +0.2% |
| Illinois | $6 | $80 | 52 | 3,411 | 0.0% |
| Maryland | $6 | $49 | 46 | 3,004 | 0.0% |
| Missouri | $6 | $75 | 10 | 233 | 0.0% |
| Pennsylvania | $6 | $59 | 12 | 1,972 | 0.0% |
| Texas | $6 | $82 | 104 | 4,331 | 0.0% |
| Virginia | $6 | $24 | 94 | 6,531 | 0.0% |
| Alabama | $6 | $66 | 25 | 2,109 | 0.0% |
| Iowa | $6 | $28 | 75 | 1,015 | -0.3% |
| Kentucky | $6 | $30 | 87 | 395 | -0.3% |
| Utah | $6 | $20 | 64 | 681 | -0.5% |
| Washington | $6 | $75 | 90 | 4,915 | -0.5% |
| Wisconsin | $6 | $56 | 79 | 1,611 | -0.9% |
| Wyoming | $6 | $49 | 8 | 46 | -1.1% |
| Montana | $6 | $41 | 5 | 43 | -1.2% |
| Oregon | $6 | $26 | 10 | 217 | -1.2% |
| Connecticut | $6 | $55 | 6 | 40 | -2.2% |
| Minnesota | $6 | $25 | 33 | 271 | -3.1% |
| Arkansas | $6 | $21 | 41 | 188 | -4.8% |
| South Carolina | $6 | $24 | 56 | 267 | -4.9% |
⚠️ 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