Tissue fungi or parasites
Medicare pricing data for 3,316 providers across 47 states
This procedure has a 8.6x markup — hospitals charge $35.78 but Medicare allows only $4.16. Uninsured patients may face bills 8.6 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
Tissue fungi or parasites (HCPCS code 87220) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.16, but hospitals typically charge $35.78 — a 8.6x 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 $4.16, your out-of-pocket cost would be approximately $0.83. 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 8.6x more than what Medicare allows for this procedure. Medicare actually pays $4.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Iowa | $4 | $22 | 59 | 156 | +2.4% |
| Delaware | $4 | $32 | 6 | 17 | +0.5% |
| Hawaii | $4 | $17 | 7 | 15 | +0.5% |
| Illinois | $4 | $51 | 57 | 716 | +0.5% |
| Indiana | $4 | $31 | 29 | 121 | +0.5% |
| Montana | $4 | $22 | 9 | 67 | +0.5% |
| Nevada | $4 | $19 | 10 | 284 | +0.5% |
| New Jersey | $4 | $60 | 39 | 1,588 | +0.5% |
| New Mexico | $4 | $46 | 7 | 17 | +0.5% |
| New York | $4 | $12 | 37 | 843 | +0.5% |
| Vermont | $4 | $28 | 8 | 19 | +0.5% |
| Wyoming | $4 | $41 | 17 | 44 | +0.5% |
| Alaska | $4 | $44 | 11 | 24 | +0.5% |
| California | $4 | $42 | 251 | 2,510 | +0.5% |
| Colorado | $4 | $17 | 54 | 185 | +0.5% |
| Kansas | $4 | $26 | 92 | 720 | +0.2% |
| Massachusetts | $4 | $43 | 107 | 1,151 | +0.2% |
| Pennsylvania | $4 | $39 | 111 | 750 | +0.2% |
| South Carolina | $4 | $24 | 97 | 387 | +0.2% |
| Texas | $4 | $46 | 108 | 814 | +0.2% |
| Wisconsin | $4 | $49 | 215 | 564 | +0.2% |
| Florida | $4 | $45 | 138 | 2,259 | 0.0% |
| Georgia | $4 | $40 | 123 | 1,014 | 0.0% |
| Missouri | $4 | $51 | 34 | 505 | 0.0% |
| North Carolina | $4 | $14 | 128 | 879 | 0.0% |
| Maryland | $4 | $44 | 168 | 928 | -0.2% |
| Minnesota | $4 | $21 | 283 | 485 | -0.2% |
| Nebraska | $4 | $25 | 35 | 142 | -0.2% |
| North Dakota | $4 | $25 | 29 | 63 | -0.2% |
| South Dakota | $4 | $28 | 43 | 116 | -0.2% |
| Ohio | $4 | $25 | 33 | 165 | -0.7% |
| Oklahoma | $4 | $38 | 24 | 132 | -1.0% |
| Oregon | $4 | $23 | 75 | 266 | -1.0% |
| Tennessee | $4 | $20 | 76 | 307 | -1.0% |
| Virginia | $4 | $26 | 271 | 845 | -1.0% |
| Washington | $4 | $22 | 94 | 352 | -1.0% |
| Arizona | $4 | $35 | 30 | 139 | -1.0% |
| Arkansas | $4 | $18 | 110 | 485 | -1.0% |
| Utah | $4 | $18 | 45 | 169 | -1.2% |
| Kentucky | $4 | $20 | 47 | 148 | -1.4% |
| Michigan | $4 | $16 | 55 | 119 | -1.4% |
| Louisiana | $4 | $19 | 11 | 42 | -1.9% |
| Mississippi | $4 | $15 | 29 | 545 | -2.2% |
| Alabama | $4 | $8 | 32 | 108 | -2.4% |
| Idaho | $4 | $14 | 31 | 80 | -2.9% |
| West Virginia | $4 | $28 | 15 | 48 | -3.6% |
| Connecticut | $4 | $32 | 7 | 19 | -3.8% |
⚠️ 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