Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)
Medicare pricing data for 754 providers across 46 states
This procedure has a 9.6x markup — hospitals charge $112.74 but Medicare allows only $11.73. Uninsured patients may face bills 9.6 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 test by immunoassay technique for clostridium difficile toxins (stool pathogen) (HCPCS code 87324) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.73, but hospitals typically charge $112.74 — a 9.6x 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 $11.73, your out-of-pocket cost would be approximately $2.35. 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 9.6x more than what Medicare allows for this procedure. Medicare actually pays $11.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $12 | $24 | 2 | 82 | +0.1% |
| Florida | $12 | $125 | 25 | 12,580 | +0.1% |
| Idaho | $12 | $27 | 3 | 28 | +0.1% |
| Illinois | $12 | $99 | 18 | 2,373 | +0.1% |
| Kansas | $12 | $102 | 15 | 166 | +0.1% |
| Maine | $12 | $88 | 1 | 34 | +0.1% |
| Massachusetts | $12 | $133 | 10 | 3,650 | +0.1% |
| Minnesota | $12 | $39 | 84 | 116 | +0.1% |
| Missouri | $12 | $134 | 15 | 1,351 | +0.1% |
| Nebraska | $12 | $40 | 2 | 31 | +0.1% |
| Nevada | $12 | $138 | 2 | 742 | +0.1% |
| Rhode Island | $12 | $37 | 2 | 110 | +0.1% |
| South Dakota | $12 | $114 | 4 | 35 | +0.1% |
| Virginia | $12 | $78 | 7 | 156 | +0.1% |
| Wyoming | $12 | $65 | 5 | 36 | +0.1% |
| Puerto Rico | $12 | $13 | 47 | 184 | +0.1% |
| Arizona | $12 | $130 | 3 | 6,877 | +0.1% |
| New Jersey | $12 | $100 | 17 | 17,421 | 0.0% |
| New York | $12 | $147 | 11 | 1,620 | 0.0% |
| North Carolina | $12 | $129 | 12 | 12,287 | 0.0% |
| Oklahoma | $12 | $71 | 9 | 1,711 | 0.0% |
| Pennsylvania | $12 | $118 | 12 | 1,422 | 0.0% |
| Texas | $12 | $124 | 65 | 6,995 | 0.0% |
| Washington | $12 | $116 | 59 | 2,560 | 0.0% |
| California | $12 | $107 | 37 | 9,503 | 0.0% |
| Maryland | $12 | $121 | 12 | 1,350 | -0.1% |
| Ohio | $12 | $102 | 14 | 3,048 | -0.1% |
| Oregon | $12 | $59 | 9 | 340 | -0.1% |
| Colorado | $12 | $124 | 8 | 906 | -0.1% |
| Georgia | $12 | $92 | 7 | 438 | -0.2% |
| Hawaii | $12 | $35 | 2 | 368 | -0.2% |
| Tennessee | $12 | $47 | 30 | 1,085 | -0.2% |
| Alabama | $12 | $115 | 17 | 4,145 | -0.2% |
| Louisiana | $12 | $102 | 24 | 376 | -0.3% |
| Arkansas | $12 | $26 | 18 | 420 | -0.3% |
| Iowa | $12 | $77 | 8 | 185 | -0.3% |
| Kentucky | $12 | $32 | 18 | 215 | -0.3% |
| Utah | $12 | $43 | 58 | 443 | -0.5% |
| Michigan | $12 | $37 | 9 | 309 | -0.8% |
| North Dakota | $12 | $47 | 7 | 107 | -0.9% |
| Indiana | $12 | $65 | 6 | 277 | -0.9% |
| Mississippi | $12 | $92 | 8 | 560 | -1.0% |
| Connecticut | $12 | $78 | 2 | 73 | -1.0% |
| New Mexico | $12 | $66 | 7 | 117 | -1.3% |
| Wisconsin | $12 | $67 | 11 | 351 | -1.4% |
| South Carolina | $12 | $29 | 7 | 43 | -2.0% |
⚠️ 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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