Special stain for inclusion bodies or parasites
Medicare pricing data for 181 providers across 29 states
This procedure has a 11.5x markup — hospitals charge $67.50 but Medicare allows only $5.87. Uninsured patients may face bills 11.5 times higher than what insurance negotiates. Prices vary significantly by location — from $6 in Washington to $18 in Connecticut. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 stain for inclusion bodies or parasites (HCPCS code 87207) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.87, but hospitals typically charge $67.50 — a 11.5x 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 $5.87, your out-of-pocket cost would be approximately $1.17. 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 11.5x more than what Medicare allows for this procedure. Medicare actually pays $5.87 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $18 | $48 | 8 | 27 | +210.2% |
| New Hampshire | $18 | $75 | 2 | 22 | +201.2% |
| Maine | $17 | $20 | 4 | 11 | +197.8% |
| Iowa | $17 | $96 | 5 | 14 | +188.1% |
| Oklahoma | $7 | $70 | 5 | 18 | +20.6% |
| Virginia | $7 | $39 | 5 | 16 | +14.1% |
| Massachusetts | $6 | $136 | 8 | 461 | +0.5% |
| Florida | $6 | $70 | 14 | 458 | 0.0% |
| Georgia | $6 | $72 | 2 | 132 | 0.0% |
| Illinois | $6 | $81 | 2 | 29 | 0.0% |
| Kansas | $6 | $124 | 5 | 20 | 0.0% |
| Maryland | $6 | $82 | 5 | 82 | 0.0% |
| Minnesota | $6 | $46 | 19 | 83 | 0.0% |
| Missouri | $6 | $49 | 2 | 52 | 0.0% |
| Montana | $6 | $32 | 2 | 11 | 0.0% |
| Nevada | $6 | $77 | 1 | 18 | 0.0% |
| New York | $6 | $71 | 7 | 137 | 0.0% |
| Ohio | $6 | $81 | 7 | 21 | 0.0% |
| Pennsylvania | $6 | $62 | 12 | 110 | 0.0% |
| Rhode Island | $6 | $83 | 1 | 53 | 0.0% |
| Texas | $6 | $73 | 9 | 316 | 0.0% |
| Alabama | $6 | $72 | 2 | 16 | 0.0% |
| Arizona | $6 | $47 | 2 | 63 | 0.0% |
| Colorado | $6 | $118 | 3 | 19 | 0.0% |
| New Jersey | $6 | $59 | 6 | 2,559 | -0.2% |
| North Carolina | $6 | $47 | 4 | 572 | -0.2% |
| California | $6 | $82 | 15 | 352 | -0.5% |
| Mississippi | $6 | $40 | 4 | 168 | -0.7% |
| Washington | $6 | $76 | 5 | 43 | -2.4% |
⚠️ 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