Fungal culture (mold or yeast) of skin, hair, or nail
Medicare pricing data for 759 providers across 43 states
This procedure has a 8.8x markup — hospitals charge $66.60 but Medicare allows only $7.55. Uninsured patients may face bills 8.8 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
Fungal culture (mold or yeast) of skin, hair, or nail (HCPCS code 87101) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.55, but hospitals typically charge $66.60 — a 8.8x 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 $7.55, your out-of-pocket cost would be approximately $1.51. 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 8.8x more than what Medicare allows for this procedure. Medicare actually pays $7.55 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $8 | $33 | 47 | 17,537 | +0.1% |
| Georgia | $8 | $38 | 30 | 3,115 | +0.1% |
| Hawaii | $8 | $69 | 3 | 111 | +0.1% |
| Idaho | $8 | $23 | 8 | 19 | +0.1% |
| Illinois | $8 | $82 | 26 | 1,117 | +0.1% |
| Indiana | $8 | $58 | 12 | 32 | +0.1% |
| Iowa | $8 | $64 | 30 | 172 | +0.1% |
| Kentucky | $8 | $35 | 6 | 13 | +0.1% |
| Maine | $8 | $17 | 2 | 18 | +0.1% |
| Maryland | $8 | $100 | 8 | 507 | +0.1% |
| Michigan | $8 | $41 | 16 | 138 | +0.1% |
| Mississippi | $8 | $41 | 3 | 18 | +0.1% |
| Missouri | $8 | $104 | 4 | 555 | +0.1% |
| Nevada | $8 | $79 | 3 | 123 | +0.1% |
| New Jersey | $8 | $92 | 18 | 7,818 | +0.1% |
| New Mexico | $8 | $70 | 1 | 16 | +0.1% |
| Pennsylvania | $8 | $117 | 22 | 458 | +0.1% |
| South Carolina | $8 | $26 | 14 | 66 | +0.1% |
| South Dakota | $8 | $51 | 8 | 21 | +0.1% |
| Tennessee | $8 | $78 | 15 | 160 | +0.1% |
| Texas | $8 | $108 | 21 | 3,400 | +0.1% |
| Utah | $8 | $17 | 14 | 26 | +0.1% |
| Wyoming | $8 | $62 | 8 | 138 | +0.1% |
| Alaska | $8 | $49 | 3 | 43 | +0.1% |
| Arizona | $8 | $76 | 10 | 577 | +0.1% |
| California | $8 | $74 | 102 | 4,356 | +0.1% |
| Colorado | $8 | $96 | 19 | 444 | +0.1% |
| Connecticut | $8 | $30 | 7 | 65 | +0.1% |
| Massachusetts | $8 | $99 | 19 | 636 | 0.0% |
| North Carolina | $8 | $89 | 21 | 6,850 | 0.0% |
| New York | $8 | $56 | 45 | 665 | -0.1% |
| Ohio | $8 | $89 | 11 | 935 | -0.1% |
| Oregon | $8 | $32 | 22 | 262 | -0.1% |
| Alabama | $8 | $93 | 7 | 1,840 | -0.1% |
| Oklahoma | $8 | $93 | 4 | 188 | -0.3% |
| Washington | $8 | $78 | 22 | 789 | -0.3% |
| Minnesota | $8 | $62 | 44 | 183 | -0.4% |
| Nebraska | $8 | $37 | 10 | 137 | -0.4% |
| Louisiana | $8 | $59 | 14 | 100 | -0.5% |
| Kansas | $7 | $63 | 18 | 254 | -1.1% |
| North Dakota | $7 | $38 | 2 | 60 | -1.5% |
| Virginia | $7 | $33 | 34 | 175 | -1.5% |
| Wisconsin | $7 | $77 | 13 | 194 | -2.9% |
⚠️ 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