Detection of antimicrobial drug (antibiotic, antifungal, antiviral)
Medicare pricing data for 369 providers across 34 states
This procedure has a 6.6x markup — hospitals charge $30.33 but Medicare allows only $4.63. Uninsured patients may face bills 6.6 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
Detection of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS code 87185) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.63, but hospitals typically charge $30.33 — a 6.6x 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 $4.63, your out-of-pocket cost would be approximately $0.93. 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 6.6x more than what Medicare allows for this procedure. Medicare actually pays $4.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $5 | $58 | 2 | 331 | +0.4% |
| Hawaii | $5 | $7 | 1 | 69 | +0.4% |
| Iowa | $5 | $31 | 2 | 88 | +0.4% |
| Maryland | $5 | $28 | 6 | 604 | +0.4% |
| Massachusetts | $5 | $55 | 15 | 172 | +0.4% |
| Michigan | $5 | $8 | 4 | 24 | +0.4% |
| Mississippi | $5 | $72 | 2 | 20 | +0.4% |
| Missouri | $5 | $51 | 1 | 91 | +0.4% |
| Nebraska | $5 | $16 | 1 | 20 | +0.4% |
| New Jersey | $5 | $60 | 8 | 265 | +0.4% |
| New York | $5 | $16 | 74 | 2,238 | +0.4% |
| North Carolina | $5 | $65 | 1 | 65 | +0.4% |
| Pennsylvania | $5 | $37 | 10 | 238 | +0.4% |
| South Dakota | $5 | $36 | 2 | 17 | +0.4% |
| Tennessee | $5 | $18 | 2 | 105 | +0.4% |
| Utah | $5 | $13 | 27 | 44 | +0.4% |
| Washington | $5 | $40 | 7 | 87 | +0.4% |
| Wisconsin | $5 | $39 | 5 | 50 | +0.4% |
| Alabama | $5 | $8 | 3 | 711 | +0.4% |
| Arizona | $5 | $17 | 2 | 21 | +0.4% |
| California | $5 | $31 | 40 | 2,518 | +0.4% |
| Colorado | $5 | $55 | 1 | 32 | +0.4% |
| Illinois | $5 | $40 | 14 | 589 | +0.2% |
| Kansas | $5 | $48 | 7 | 225 | +0.2% |
| Texas | $5 | $34 | 45 | 804 | +0.2% |
| Oregon | $5 | $9 | 3 | 43 | 0.0% |
| Minnesota | $5 | $49 | 29 | 100 | -0.4% |
| Virginia | $5 | $13 | 4 | 156 | -0.4% |
| Puerto Rico | $5 | $6 | 8 | 33 | -1.7% |
| Oklahoma | $5 | $32 | 3 | 259 | -2.6% |
| Ohio | $4 | $31 | 6 | 98 | -3.2% |
| Indiana | $4 | $32 | 2 | 66 | -3.5% |
| Florida | $4 | $46 | 10 | 747 | -3.7% |
| Kentucky | $4 | $14 | 13 | 26 | -12.3% |
⚠️ 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