87147

Identification of organisms by immunologic analysis, other than immunofluorescence method

Medicare pricing data for 977 providers across 36 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $30.81 but Medicare allows only $5.07. Uninsured patients may face bills 6.1 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

Identification of organisms by immunologic analysis, other than immunofluorescence method (HCPCS code 87147) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.07, but hospitals typically charge $30.81 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.07, your out-of-pocket cost would be approximately $1.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.07
Average Hospital Charge
$30.81
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$30.81
Medicare Allowed$5.07
Medicare Payment$5.07

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $5.07 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$5$332712,954+0.2%
Georgia$5$2952,843+0.2%
Indiana$5$222148+0.2%
Iowa$5$215203+0.2%
Massachusetts$5$26613,109+0.2%
Michigan$5$19689+0.2%
Minnesota$5$321342+0.2%
Mississippi$5$3612,392+0.2%
Missouri$5$342856+0.2%
Nebraska$5$151115+0.2%
Nevada$5$321725+0.2%
New Jersey$5$401369,055+0.2%
New Mexico$5$323114+0.2%
North Carolina$5$3431,343+0.2%
Oregon$5$176101+0.2%
Pennsylvania$5$3292,696+0.2%
South Dakota$5$337107+0.2%
Texas$5$2510811,026+0.2%
Alabama$5$101536+0.2%
California$5$295112,707+0.2%
Colorado$5$322811+0.2%
Connecticut$5$2415165+0.2%
Illinois$5$30106,3520.0%
Kansas$5$3263,1190.0%
Maryland$5$3172,5220.0%
New York$5$27358240.0%
Ohio$5$2792,5450.0%
Tennessee$5$58451,7670.0%
Utah$5$17787700.0%
Arizona$5$20862,5280.0%
North Dakota$5$3118399-0.2%
Oklahoma$5$252705-0.2%
Virginia$5$2510686-0.4%
Washington$5$211782,839-0.6%
Arkansas$5$153207-0.6%
Wisconsin$5$49131,071-1.8%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber