Screening test for pathogenic organisms with colony count
Medicare pricing data for 94 providers across 10 states
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
Screening test for pathogenic organisms with colony count (HCPCS code 87084) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.38, but hospitals typically charge $42.03 — a 1.6x 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 $26.38, your out-of-pocket cost would be approximately $5.28. 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 1.6x more than what Medicare allows for this procedure. Medicare actually pays $26.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Iowa | $27 | $35 | 1 | 71 | +0.6% |
| Kentucky | $27 | $42 | 4 | 121 | +0.6% |
| Missouri | $27 | $40 | 1 | 11 | +0.6% |
| Ohio | $27 | $35 | 5 | 204 | +0.6% |
| California | $27 | $40 | 4 | 2,569 | +0.5% |
| Mississippi | $26 | $45 | 1 | 214 | +0.1% |
| Louisiana | $26 | $45 | 18 | 3,675 | -0.0% |
| Kansas | $26 | $35 | 20 | 644 | -0.1% |
| New York | $26 | $43 | 25 | 966 | -0.3% |
| Puerto Rico | $14 | $14 | 4 | 21 | -47.3% |
⚠️ 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