87210

Smear for infectious agents

Medicare pricing data for 9,718 providers across 51 states

🤖AI Overview

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 infectious agents (HCPCS code 87210) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.65, but hospitals typically charge $24.17 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.13

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.65, your out-of-pocket cost would be approximately $1.13. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.65
Average Hospital Charge
$24.17
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$24.17
Medicare Allowed$5.65
Medicare Payment$5.65

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $5.65 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$6$212561+0.9%
District of Columbia$6$262247+0.9%
Hawaii$6$251326+0.9%
Nevada$6$301462+0.9%
New Mexico$6$282372+0.9%
Vermont$6$193452+0.9%
Arizona$6$2270361+0.9%
Illinois$6$291341,506+0.7%
New York$6$242051,663+0.7%
Wyoming$6$3466234+0.7%
California$6$253322,867+0.7%
Connecticut$6$2282472+0.7%
Idaho$6$1853199+0.5%
Montana$6$2191214+0.5%
Kentucky$6$22144507+0.4%
Maine$6$2037166+0.4%
Indiana$6$21121410+0.2%
Missouri$6$20156587+0.2%
Nebraska$6$15156584+0.2%
North Dakota$6$2784327+0.2%
Oregon$6$21113549+0.2%
Kansas$6$251325290.0%
Maryland$6$262891,0910.0%
Massachusetts$6$201841,1220.0%
Minnesota$6$239312,4710.0%
Ohio$6$201865840.0%
Virginia$6$244962,1430.0%
Wisconsin$6$406232,5540.0%
Florida$6$212781,605-0.2%
Georgia$6$242781,435-0.2%
Michigan$6$20233988-0.2%
New Jersey$6$25169601-0.2%
North Carolina$6$278533,480-0.2%
Oklahoma$6$2872530-0.2%
Texas$6$244001,791-0.2%
West Virginia$6$2128242-0.2%
Arkansas$6$182651,053-0.2%
Colorado$6$19146318-0.2%
Pennsylvania$6$222791,713-0.4%
South Dakota$6$27102399-0.4%
Alabama$6$16191764-0.4%
Louisiana$6$2292407-0.5%
Mississippi$6$21224971-0.5%
New Hampshire$6$2958180-0.5%
South Carolina$6$252911,024-0.5%
Tennessee$6$194501,658-0.7%
Washington$6$21133908-0.7%
Rhode Island$6$182444-1.4%
Utah$6$2246124-1.4%
Iowa$6$17206596-1.6%
Alaska$6$4961117-1.6%

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

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