Detection test by immunoassay technique for streptococcus, group a (strep)
Medicare pricing data for 3,845 providers across 48 states
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 streptococcus, group a (strep) (HCPCS code 87430) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.30, but hospitals typically charge $41.22 — a 2.5x 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 $16.30, your out-of-pocket cost would be approximately $3.26. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $16.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $16 | $48 | 23 | 80 | +1.0% |
| Minnesota | $16 | $42 | 31 | 60 | +1.0% |
| Nebraska | $16 | $39 | 29 | 107 | +1.0% |
| North Dakota | $16 | $58 | 12 | 27 | +1.0% |
| Rhode Island | $16 | $59 | 5 | 19 | +1.0% |
| South Dakota | $16 | $64 | 13 | 43 | +1.0% |
| Vermont | $16 | $53 | 19 | 155 | +1.0% |
| Puerto Rico | $16 | $63 | 1 | 49 | +1.0% |
| Alaska | $16 | $103 | 3 | 33 | +1.0% |
| Arizona | $16 | $42 | 54 | 112 | +1.0% |
| Connecticut | $16 | $45 | 9 | 19 | +1.0% |
| Florida | $16 | $58 | 155 | 804 | +0.9% |
| California | $16 | $51 | 228 | 1,287 | +0.8% |
| Kansas | $16 | $42 | 81 | 349 | +0.7% |
| New York | $16 | $43 | 132 | 1,308 | +0.7% |
| Wyoming | $16 | $75 | 13 | 332 | +0.7% |
| Illinois | $16 | $43 | 86 | 269 | +0.6% |
| Idaho | $16 | $30 | 41 | 160 | +0.6% |
| Virginia | $16 | $33 | 120 | 1,226 | +0.6% |
| Massachusetts | $16 | $58 | 58 | 510 | +0.5% |
| New Hampshire | $16 | $54 | 71 | 674 | +0.5% |
| Colorado | $16 | $52 | 80 | 173 | +0.5% |
| South Carolina | $16 | $50 | 152 | 857 | +0.4% |
| Maryland | $16 | $34 | 27 | 148 | +0.4% |
| Arkansas | $16 | $39 | 243 | 1,378 | +0.4% |
| Missouri | $16 | $41 | 151 | 420 | +0.3% |
| Indiana | $16 | $37 | 273 | 1,247 | +0.2% |
| Mississippi | $16 | $45 | 106 | 2,326 | +0.2% |
| Texas | $16 | $43 | 249 | 1,723 | +0.2% |
| Kentucky | $16 | $55 | 63 | 284 | +0.1% |
| New Jersey | $16 | $37 | 297 | 1,487 | +0.1% |
| Oregon | $16 | $52 | 57 | 230 | +0.1% |
| Oklahoma | $16 | $36 | 211 | 1,877 | 0.0% |
| Washington | $16 | $39 | 28 | 103 | -0.1% |
| Iowa | $16 | $26 | 50 | 267 | -0.1% |
| Pennsylvania | $16 | $30 | 43 | 197 | -0.4% |
| Louisiana | $16 | $38 | 62 | 205 | -0.4% |
| New Mexico | $16 | $31 | 12 | 66 | -0.5% |
| West Virginia | $16 | $37 | 33 | 496 | -0.5% |
| North Carolina | $16 | $37 | 110 | 539 | -0.6% |
| Georgia | $16 | $47 | 55 | 502 | -0.9% |
| Michigan | $16 | $39 | 37 | 160 | -0.9% |
| Alabama | $16 | $21 | 71 | 1,855 | -1.5% |
| Utah | $16 | $39 | 12 | 26 | -2.1% |
| Nevada | $16 | $50 | 54 | 169 | -2.4% |
| Tennessee | $16 | $35 | 110 | 706 | -2.6% |
| Montana | $16 | $52 | 24 | 81 | -2.8% |
| Ohio | $15 | $22 | 34 | 220 | -7.0% |
⚠️ 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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