Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)
Medicare pricing data for 1,217 providers across 43 states
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
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS code 87184) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.32, but hospitals typically charge $24.76 — a 3.4x 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 $7.32, your out-of-pocket cost would be approximately $1.46. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $7.32 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $7 | $13 | 32 | 25,481 | +0.1% |
| Georgia | $7 | $59 | 4 | 31 | +0.1% |
| Hawaii | $7 | $42 | 2 | 154 | +0.1% |
| Iowa | $7 | $43 | 4 | 61 | +0.1% |
| Maryland | $7 | $30 | 15 | 231 | +0.1% |
| Massachusetts | $7 | $21 | 135 | 1,158 | +0.1% |
| Michigan | $7 | $11 | 1 | 74 | +0.1% |
| Mississippi | $7 | $134 | 4 | 15 | +0.1% |
| Missouri | $7 | $61 | 10 | 182 | +0.1% |
| Nebraska | $7 | $19 | 14 | 75 | +0.1% |
| Nevada | $7 | $63 | 1 | 60 | +0.1% |
| New Mexico | $7 | $52 | 2 | 32 | +0.1% |
| New York | $7 | $35 | 79 | 7,900 | +0.1% |
| North Dakota | $7 | $29 | 5 | 48 | +0.1% |
| South Carolina | $7 | $10 | 1 | 86 | +0.1% |
| South Dakota | $7 | $50 | 10 | 77 | +0.1% |
| Utah | $7 | $30 | 7 | 29 | +0.1% |
| Wisconsin | $7 | $64 | 32 | 438 | +0.1% |
| Alabama | $7 | $16 | 6 | 4,651 | +0.1% |
| California | $7 | $29 | 102 | 34,810 | +0.1% |
| Colorado | $7 | $21 | 4 | 19 | +0.1% |
| Connecticut | $7 | $34 | 2 | 16 | +0.1% |
| Illinois | $7 | $58 | 26 | 5,027 | 0.0% |
| New Jersey | $7 | $14 | 166 | 6,601 | 0.0% |
| Pennsylvania | $7 | $16 | 10 | 5,603 | 0.0% |
| Texas | $7 | $30 | 40 | 2,987 | 0.0% |
| Arizona | $7 | $20 | 5 | 822 | 0.0% |
| North Carolina | $7 | $44 | 51 | 1,086 | -0.1% |
| Virginia | $7 | $24 | 59 | 376 | -0.1% |
| Arkansas | $7 | $30 | 3 | 2,790 | -0.1% |
| Tennessee | $7 | $21 | 41 | 1,446 | -0.3% |
| Oklahoma | $7 | $15 | 14 | 1,980 | -0.4% |
| Puerto Rico | $7 | $8 | 38 | 202 | -0.4% |
| Kentucky | $7 | $32 | 3 | 129 | -0.5% |
| Minnesota | $7 | $33 | 71 | 364 | -0.5% |
| Oregon | $7 | $23 | 7 | 214 | -0.5% |
| Louisiana | $7 | $28 | 27 | 3,293 | -0.7% |
| Ohio | $7 | $49 | 9 | 179 | -0.8% |
| Wyoming | $7 | $31 | 11 | 67 | -0.8% |
| Washington | $7 | $32 | 113 | 555 | -1.1% |
| Montana | $7 | $38 | 4 | 41 | -1.5% |
| Maine | $7 | $20 | 38 | 89 | -1.9% |
| Kansas | $7 | $72 | 3 | 23 | -2.6% |
⚠️ 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