Detection test by immunoassay technique for other organism
Medicare pricing data for 744 providers across 42 states
This procedure has a 8.2x markup — hospitals charge $95.90 but Medicare allows only $11.73. Uninsured patients may face bills 8.2 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 other organism (HCPCS code 87449) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.73, but hospitals typically charge $95.90 — a 8.2x 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 8.2x 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 | 51 | +0.1% |
| Florida | $12 | $135 | 35 | 15,599 | +0.1% |
| Idaho | $12 | $30 | 3 | 21 | +0.1% |
| Iowa | $12 | $158 | 6 | 34 | +0.1% |
| Kansas | $12 | $140 | 11 | 665 | +0.1% |
| Maryland | $12 | $33 | 9 | 26,813 | +0.1% |
| Massachusetts | $12 | $141 | 13 | 6,173 | +0.1% |
| Michigan | $12 | $48 | 9 | 64 | +0.1% |
| Minnesota | $12 | $118 | 43 | 402 | +0.1% |
| Missouri | $12 | $141 | 14 | 3,896 | +0.1% |
| New Jersey | $12 | $129 | 11 | 11,409 | +0.1% |
| New Mexico | $12 | $101 | 4 | 209 | +0.1% |
| Oregon | $12 | $52 | 33 | 106 | +0.1% |
| Rhode Island | $12 | $41 | 1 | 119 | +0.1% |
| Texas | $12 | $63 | 52 | 17,003 | +0.1% |
| West Virginia | $12 | $38 | 1 | 75 | +0.1% |
| Wyoming | $12 | $58 | 4 | 27 | +0.1% |
| Alabama | $12 | $46 | 11 | 199 | +0.1% |
| Georgia | $12 | $160 | 3 | 1,498 | 0.0% |
| Illinois | $12 | $123 | 12 | 3,567 | 0.0% |
| Nevada | $12 | $150 | 3 | 989 | 0.0% |
| New York | $12 | $132 | 11 | 1,904 | 0.0% |
| Pennsylvania | $12 | $132 | 9 | 2,141 | 0.0% |
| California | $12 | $134 | 38 | 14,117 | 0.0% |
| Colorado | $12 | $129 | 7 | 741 | 0.0% |
| North Carolina | $12 | $104 | 12 | 5,305 | -0.1% |
| Ohio | $12 | $65 | 33 | 1,287 | -0.1% |
| Oklahoma | $12 | $110 | 14 | 1,884 | -0.1% |
| Arizona | $12 | $98 | 5 | 564 | -0.1% |
| Hawaii | $12 | $45 | 3 | 413 | -0.2% |
| Tennessee | $12 | $58 | 10 | 832 | -0.2% |
| Arkansas | $12 | $24 | 6 | 359 | -0.2% |
| Mississippi | $12 | $35 | 8 | 191 | -0.3% |
| Indiana | $12 | $87 | 8 | 260 | -0.3% |
| Kentucky | $12 | $36 | 58 | 400 | -0.4% |
| Louisiana | $12 | $45 | 23 | 241 | -0.4% |
| Utah | $12 | $51 | 4 | 385 | -0.4% |
| Virginia | $12 | $45 | 11 | 786 | -0.5% |
| Washington | $12 | $113 | 162 | 1,938 | -0.6% |
| Wisconsin | $12 | $61 | 11 | 1,218 | -0.9% |
| Nebraska | $11 | $31 | 7 | 25 | -3.2% |
| South Carolina | $11 | $24 | 7 | 46 | -4.0% |
⚠️ 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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