Fungal culture, yeast
Medicare pricing data for 461 providers across 36 states
This procedure has a 5.9x markup — hospitals charge $59.81 but Medicare allows only $10.10. Uninsured patients may face bills 5.9 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, yeast (HCPCS code 87106) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.10, but hospitals typically charge $59.81 — a 5.9x 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 $10.10, your out-of-pocket cost would be approximately $2.02. 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 5.9x more than what Medicare allows for this procedure. Medicare actually pays $10.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $10 | $59 | 7 | 677 | +0.1% |
| Hawaii | $10 | $71 | 3 | 202 | +0.1% |
| Illinois | $10 | $52 | 4 | 544 | +0.1% |
| Iowa | $10 | $43 | 8 | 109 | +0.1% |
| Kansas | $10 | $66 | 8 | 309 | +0.1% |
| Kentucky | $10 | $27 | 2 | 41 | +0.1% |
| Louisiana | $10 | $46 | 7 | 25 | +0.1% |
| Maryland | $10 | $68 | 5 | 307 | +0.1% |
| Mississippi | $10 | $74 | 2 | 117 | +0.1% |
| Missouri | $10 | $69 | 2 | 141 | +0.1% |
| Nebraska | $10 | $30 | 1 | 18 | +0.1% |
| Nevada | $10 | $58 | 2 | 305 | +0.1% |
| New Jersey | $10 | $66 | 9 | 2,900 | +0.1% |
| North Carolina | $10 | $65 | 3 | 2,146 | +0.1% |
| North Dakota | $10 | $62 | 4 | 62 | +0.1% |
| Oklahoma | $10 | $44 | 4 | 188 | +0.1% |
| Oregon | $10 | $28 | 11 | 143 | +0.1% |
| Pennsylvania | $10 | $58 | 7 | 336 | +0.1% |
| South Dakota | $10 | $88 | 3 | 95 | +0.1% |
| Tennessee | $10 | $56 | 6 | 225 | +0.1% |
| Texas | $10 | $57 | 22 | 1,505 | +0.1% |
| Utah | $10 | $54 | 4 | 83 | +0.1% |
| Arizona | $10 | $60 | 4 | 156 | +0.1% |
| Arkansas | $10 | $21 | 1 | 538 | +0.1% |
| Colorado | $10 | $56 | 4 | 75 | +0.1% |
| Florida | $10 | $58 | 14 | 2,727 | 0.0% |
| Massachusetts | $10 | $63 | 80 | 932 | 0.0% |
| New York | $10 | $32 | 52 | 590 | 0.0% |
| Ohio | $10 | $58 | 12 | 450 | -0.1% |
| Alabama | $10 | $52 | 6 | 446 | -0.1% |
| California | $10 | $65 | 27 | 2,524 | -0.1% |
| Indiana | $10 | $127 | 2 | 138 | -0.5% |
| Washington | $10 | $52 | 46 | 258 | -0.5% |
| Wisconsin | $10 | $69 | 8 | 631 | -0.5% |
| Minnesota | $10 | $69 | 58 | 462 | -0.6% |
| Virginia | $10 | $31 | 9 | 190 | -0.8% |
⚠️ 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