87107

Culture for identification of yeast

Medicare pricing data for 166 providers across 30 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $55.10 but Medicare allows only $10.10. Uninsured patients may face bills 5.5 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

Culture for identification of yeast (HCPCS code 87107) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $10.10, but hospitals typically charge $55.10 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.02

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.

Average Allowed Cost
$10.10
Average Hospital Charge
$55.10
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$55.10
Medicare Allowed$10.10
Medicare Payment$10.10

Hospitals charge 5.5x 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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$10$38125,157+0.1%
Georgia$10$5310940+0.1%
Hawaii$10$176257+0.1%
Illinois$10$712283+0.1%
Iowa$10$33316+0.1%
Kansas$10$884111+0.1%
Maryland$10$821179+0.1%
Massachusetts$10$87391+0.1%
Mississippi$10$426212+0.1%
Missouri$10$861157+0.1%
Nebraska$10$30143+0.1%
Nevada$10$83162+0.1%
New Jersey$10$854761+0.1%
New York$10$39351+0.1%
Ohio$10$69962+0.1%
Oklahoma$10$353174+0.1%
Oregon$10$43426+0.1%
Pennsylvania$10$735167+0.1%
South Dakota$10$84328+0.1%
Tennessee$10$962164+0.1%
Texas$10$657582+0.1%
Virginia$10$22459+0.1%
Alabama$10$24393+0.1%
California$10$66141,3410.0%
Minnesota$10$8834403-0.1%
Arizona$10$352308-0.2%
North Carolina$10$744185-0.4%
Washington$10$38543-1.8%
North Dakota$10$56226-3.6%
Wisconsin$10$626162-4.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber