87177

Smear for parasites

Medicare pricing data for 945 providers across 45 states

🤖AI Overview

This procedure has a 5.2x markup — hospitals charge $45.49 but Medicare allows only $8.70. Uninsured patients may face bills 5.2 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

Smear for parasites (HCPCS code 87177) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8.70, but hospitals typically charge $45.49 — a 5.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $8.70, your out-of-pocket cost would be approximately $1.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$8.70
Average Hospital Charge
$45.49
Markup Ratio
5.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$45.49
Medicare Allowed$8.70
Medicare Payment$8.70

Hospitals charge 5.2x more than what Medicare allows for this procedure. Medicare actually pays $8.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$9$544312,975+0.2%
Georgia$9$615171+0.2%
Illinois$9$56221,780+0.2%
Iowa$9$386218+0.2%
Kansas$9$438117+0.2%
Kentucky$9$267256+0.2%
Louisiana$9$294139+0.2%
Maine$9$381120+0.2%
Maryland$9$5291,709+0.2%
Massachusetts$9$60133,663+0.2%
Missouri$9$64141,164+0.2%
Nebraska$9$25178+0.2%
Nevada$9$592850+0.2%
New Mexico$9$582150+0.2%
North Dakota$9$70218+0.2%
Rhode Island$9$281183+0.2%
Tennessee$9$44111,015+0.2%
Texas$9$4015410,633+0.2%
Utah$9$55542+0.2%
Wyoming$9$55113+0.2%
Arkansas$9$281937+0.2%
Connecticut$9$612570+0.2%
New Jersey$9$381823,248+0.1%
New York$9$96152,952+0.1%
North Carolina$9$411818,226+0.1%
Pennsylvania$9$70121,291+0.1%
Arizona$9$3758,328+0.1%
Colorado$9$596995+0.1%
California$9$524515,4150.0%
Ohio$9$33983,624-0.1%
Virginia$9$3582,771-0.1%
Hawaii$9$363912-0.2%
Mississippi$9$1147147-0.2%
Washington$9$43153,419-0.2%
Minnesota$9$59106972-0.3%
Oregon$9$257968-0.3%
Wisconsin$9$628685-0.5%
Alabama$9$36384,774-0.5%
South Carolina$9$42852-0.7%
South Dakota$9$533110-1.3%
New Hampshire$9$293158-1.4%
Indiana$9$145356-1.5%
Oklahoma$8$5810869-5.4%
Puerto Rico$8$9127522-6.3%
Michigan$7$2412237-16.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber