87328

Detection test by immunoassay technique for cryptosporidium (parasite)

Medicare pricing data for 634 providers across 38 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $94.58 but Medicare allows only $13.51. Uninsured patients may face bills 7.0 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 cryptosporidium (parasite) (HCPCS code 87328) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.51, but hospitals typically charge $94.58 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.70

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.51, your out-of-pocket cost would be approximately $2.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.51
Average Hospital Charge
$94.58
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$94.58
Medicare Allowed$13.51
Medicare Payment$13.51

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $13.51 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Wisconsin$14$9036202+1.0%
Minnesota$14$54229385+0.3%
Florida$14$113451,687+0.2%
Georgia$14$662574+0.2%
Illinois$14$1023173+0.2%
Iowa$14$45693+0.2%
Kansas$14$110326+0.2%
Kentucky$14$354122+0.2%
Maryland$14$1162178+0.2%
Michigan$14$34421+0.2%
Missouri$14$11711,142+0.2%
Nebraska$14$35145+0.2%
Nevada$14$119125+0.2%
New Hampshire$14$371320+0.2%
New Jersey$14$13451,616+0.2%
Oklahoma$14$395353+0.2%
Texas$14$10715997+0.2%
Wyoming$14$37212+0.2%
Arizona$14$1255677+0.2%
Washington$14$9619745+0.1%
Massachusetts$14$1167559+0.1%
North Carolina$14$13272,0020.0%
Ohio$14$93131,8230.0%
Pennsylvania$14$9363760.0%
Indiana$14$735325-0.1%
North Dakota$14$6212157-0.1%
California$14$75292,487-0.1%
Virginia$13$318453-0.1%
New York$13$51101,104-0.2%
Oregon$13$5124519-0.3%
South Dakota$13$5420153-0.3%
Utah$13$3326151-0.4%
Alabama$13$986450-0.4%
Louisiana$13$781861-0.9%
Rhode Island$13$471121-1.3%
Maine$13$42253-1.3%
Colorado$13$68560-1.3%
Montana$13$35129-2.1%

⚠️ 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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