Detection test by immunoassay technique for shiga-like toxin (bacterial toxin)
Medicare pricing data for 404 providers across 41 states
This procedure has a 7.8x markup — hospitals charge $91.54 but Medicare allows only $11.69. Uninsured patients may face bills 7.8 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 shiga-like toxin (bacterial toxin) (HCPCS code 87427) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.69, but hospitals typically charge $91.54 — a 7.8x 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 $11.69, your out-of-pocket cost would be approximately $2.34. 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 7.8x more than what Medicare allows for this procedure. Medicare actually pays $11.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $12 | $105 | 30 | 10,277 | +0.4% |
| Georgia | $12 | $115 | 20 | 1,785 | +0.4% |
| Iowa | $12 | $30 | 3 | 322 | +0.4% |
| Kansas | $12 | $72 | 6 | 190 | +0.4% |
| Kentucky | $12 | $33 | 15 | 386 | +0.4% |
| Louisiana | $12 | $73 | 16 | 445 | +0.4% |
| Maine | $12 | $33 | 2 | 90 | +0.4% |
| Massachusetts | $12 | $118 | 3 | 2,705 | +0.4% |
| Michigan | $12 | $45 | 7 | 95 | +0.4% |
| Minnesota | $12 | $38 | 22 | 37 | +0.4% |
| Missouri | $12 | $117 | 5 | 2,691 | +0.4% |
| Nebraska | $12 | $20 | 1 | 92 | +0.4% |
| Nevada | $12 | $119 | 1 | 531 | +0.4% |
| New Mexico | $12 | $111 | 2 | 28 | +0.4% |
| New York | $12 | $106 | 8 | 169 | +0.4% |
| Oklahoma | $12 | $104 | 7 | 762 | +0.4% |
| Pennsylvania | $12 | $116 | 4 | 720 | +0.4% |
| Rhode Island | $12 | $25 | 1 | 190 | +0.4% |
| South Dakota | $12 | $63 | 1 | 134 | +0.4% |
| Tennessee | $12 | $46 | 9 | 1,328 | +0.4% |
| Utah | $12 | $38 | 3 | 28 | +0.4% |
| Wyoming | $12 | $69 | 1 | 31 | +0.4% |
| Colorado | $12 | $113 | 4 | 381 | +0.4% |
| Maryland | $12 | $110 | 5 | 1,044 | +0.3% |
| New Jersey | $12 | $101 | 9 | 10,710 | +0.3% |
| North Carolina | $12 | $87 | 9 | 11,228 | +0.3% |
| Arizona | $12 | $91 | 2 | 8,159 | +0.3% |
| California | $12 | $97 | 31 | 8,599 | +0.3% |
| Hawaii | $12 | $48 | 1 | 299 | +0.3% |
| Oregon | $12 | $65 | 23 | 439 | +0.3% |
| Texas | $12 | $83 | 23 | 7,722 | +0.3% |
| Virginia | $12 | $34 | 14 | 1,209 | +0.3% |
| Ohio | $12 | $79 | 19 | 4,066 | +0.2% |
| Illinois | $12 | $111 | 11 | 1,505 | +0.1% |
| Alabama | $12 | $82 | 8 | 4,521 | 0.0% |
| Wisconsin | $12 | $65 | 4 | 1,187 | -0.5% |
| Arkansas | $12 | $24 | 26 | 218 | -0.5% |
| Mississippi | $12 | $84 | 8 | 222 | -0.7% |
| Connecticut | $11 | $62 | 2 | 57 | -5.2% |
| Washington | $11 | $76 | 21 | 3,554 | -7.3% |
| North Dakota | $11 | $38 | 3 | 17 | -7.5% |
⚠️ 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