Fungal culture (mold or yeast)
Medicare pricing data for 525 providers across 38 states
This procedure has a 9.2x markup — hospitals charge $75.47 but Medicare allows only $8.22. 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
Fungal culture (mold or yeast) (HCPCS code 87102) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.22, but hospitals typically charge $75.47 — 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 $8.22, your out-of-pocket cost would be approximately $1.64. 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 $8.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $8 | $113 | 5 | 580 | +0.2% |
| Hawaii | $8 | $45 | 3 | 292 | +0.2% |
| Idaho | $8 | $67 | 1 | 32 | +0.2% |
| Illinois | $8 | $85 | 9 | 1,167 | +0.2% |
| Indiana | $8 | $78 | 2 | 72 | +0.2% |
| Kansas | $8 | $100 | 10 | 881 | +0.2% |
| Kentucky | $8 | $27 | 2 | 61 | +0.2% |
| Maine | $8 | $50 | 2 | 59 | +0.2% |
| Maryland | $8 | $106 | 6 | 327 | +0.2% |
| Massachusetts | $8 | $72 | 61 | 1,084 | +0.2% |
| Michigan | $8 | $34 | 8 | 89 | +0.2% |
| Mississippi | $8 | $64 | 2 | 593 | +0.2% |
| Missouri | $8 | $126 | 2 | 242 | +0.2% |
| Nebraska | $8 | $30 | 2 | 66 | +0.2% |
| New Jersey | $8 | $108 | 9 | 2,639 | +0.2% |
| New Mexico | $8 | $70 | 2 | 163 | +0.2% |
| North Dakota | $8 | $54 | 5 | 83 | +0.2% |
| Oregon | $8 | $46 | 3 | 198 | +0.2% |
| Pennsylvania | $8 | $116 | 5 | 529 | +0.2% |
| South Dakota | $8 | $81 | 3 | 119 | +0.2% |
| Tennessee | $8 | $143 | 7 | 689 | +0.2% |
| Colorado | $8 | $50 | 5 | 45 | +0.2% |
| North Carolina | $8 | $43 | 9 | 5,824 | +0.1% |
| Texas | $8 | $114 | 50 | 1,914 | +0.1% |
| California | $8 | $60 | 49 | 6,780 | +0.1% |
| Florida | $8 | $102 | 19 | 3,733 | 0.0% |
| Nevada | $8 | $115 | 1 | 460 | 0.0% |
| New York | $8 | $77 | 14 | 1,355 | 0.0% |
| Ohio | $8 | $49 | 11 | 448 | 0.0% |
| Utah | $8 | $38 | 13 | 244 | 0.0% |
| Iowa | $8 | $57 | 7 | 297 | -0.1% |
| Oklahoma | $8 | $92 | 3 | 731 | -0.1% |
| Arizona | $8 | $57 | 7 | 1,583 | -0.1% |
| Minnesota | $8 | $71 | 78 | 1,133 | -0.6% |
| Virginia | $8 | $33 | 8 | 470 | -0.9% |
| Alabama | $8 | $30 | 9 | 174 | -0.9% |
| Washington | $8 | $29 | 60 | 298 | -1.2% |
| Wisconsin | $8 | $71 | 8 | 432 | -2.7% |
⚠️ 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