Special fluorescent and/or acid fast stain for microorganism
Medicare pricing data for 331 providers across 41 states
This procedure has a 9.7x markup — hospitals charge $51.03 but Medicare allows only $5.28. Uninsured patients may face bills 9.7 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
Special fluorescent and/or acid fast stain for microorganism (HCPCS code 87206) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.28, but hospitals typically charge $51.03 — a 9.7x 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 $5.28, your out-of-pocket cost would be approximately $1.06. 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 9.7x more than what Medicare allows for this procedure. Medicare actually pays $5.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Minnesota | $6 | $64 | 50 | 1,546 | +5.7% |
| Mississippi | $5 | $36 | 8 | 95 | +1.5% |
| Oregon | $5 | $25 | 6 | 169 | +0.8% |
| Puerto Rico | $5 | $6 | 7 | 19 | +0.6% |
| Florida | $5 | $58 | 17 | 7,826 | 0.0% |
| Georgia | $5 | $56 | 3 | 917 | 0.0% |
| Hawaii | $5 | $21 | 2 | 1,244 | 0.0% |
| Indiana | $5 | $59 | 1 | 123 | 0.0% |
| Kansas | $5 | $58 | 10 | 1,421 | 0.0% |
| Kentucky | $5 | $17 | 1 | 43 | 0.0% |
| Louisiana | $5 | $35 | 3 | 66 | 0.0% |
| Maine | $5 | $15 | 1 | 162 | 0.0% |
| Maryland | $5 | $56 | 5 | 607 | 0.0% |
| Michigan | $5 | $19 | 5 | 31 | 0.0% |
| Missouri | $5 | $68 | 1 | 153 | 0.0% |
| Nebraska | $5 | $15 | 1 | 25 | 0.0% |
| Nevada | $5 | $53 | 2 | 1,047 | 0.0% |
| New Mexico | $5 | $24 | 1 | 269 | 0.0% |
| New York | $5 | $59 | 10 | 1,597 | 0.0% |
| North Carolina | $5 | $53 | 6 | 6,314 | 0.0% |
| North Dakota | $5 | $70 | 3 | 21 | 0.0% |
| Ohio | $5 | $48 | 9 | 1,182 | 0.0% |
| Pennsylvania | $5 | $71 | 6 | 369 | 0.0% |
| Rhode Island | $5 | $12 | 2 | 32 | 0.0% |
| South Dakota | $5 | $63 | 4 | 65 | 0.0% |
| Tennessee | $5 | $61 | 4 | 1,131 | 0.0% |
| Utah | $5 | $13 | 3 | 33 | 0.0% |
| California | $5 | $42 | 33 | 9,027 | 0.0% |
| Colorado | $5 | $43 | 4 | 72 | 0.0% |
| Illinois | $5 | $63 | 4 | 806 | -0.2% |
| Massachusetts | $5 | $51 | 6 | 923 | -0.2% |
| New Jersey | $5 | $58 | 15 | 6,655 | -0.2% |
| Oklahoma | $5 | $45 | 3 | 506 | -0.2% |
| Texas | $5 | $54 | 22 | 5,052 | -0.2% |
| Washington | $5 | $48 | 20 | 991 | -0.2% |
| Alabama | $5 | $56 | 5 | 1,713 | -0.2% |
| Arizona | $5 | $36 | 4 | 1,615 | -0.4% |
| Arkansas | $5 | $9 | 4 | 129 | -0.6% |
| Virginia | $5 | $21 | 9 | 797 | -0.8% |
| Iowa | $5 | $24 | 7 | 204 | -1.3% |
| Wisconsin | $5 | $49 | 9 | 879 | -3.4% |
⚠️ 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