Detection of anaplasma phagocytophilum by amplified nucleic acid probe technique
Medicare pricing data for 162 providers across 23 states
This procedure has a 10.1x markup — hospitals charge $347.88 but Medicare allows only $34.36. Uninsured patients may face bills 10.1 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 of anaplasma phagocytophilum by amplified nucleic acid probe technique (HCPCS code 87468) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $347.88 — a 10.1x 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 $34.36, your out-of-pocket cost would be approximately $6.87. 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 10.1x more than what Medicare allows for this procedure. Medicare actually pays $34.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $34 | $437 | 1 | 18 | +0.1% |
| Illinois | $34 | $445 | 1 | 50 | +0.1% |
| Kansas | $34 | $439 | 2 | 147 | +0.1% |
| Maryland | $34 | $446 | 2 | 33 | +0.1% |
| Massachusetts | $34 | $450 | 8 | 3,196 | +0.1% |
| New Hampshire | $34 | $36 | 38 | 92 | +0.1% |
| New Jersey | $34 | $351 | 4 | 2,083 | +0.1% |
| Ohio | $34 | $278 | 4 | 46 | +0.1% |
| Pennsylvania | $34 | $410 | 5 | 267 | +0.1% |
| Rhode Island | $34 | $70 | 1 | 63 | +0.1% |
| Tennessee | $34 | $125 | 3 | 188 | +0.1% |
| Texas | $34 | $187 | 5 | 38 | +0.1% |
| Utah | $34 | $70 | 1 | 11 | +0.1% |
| Virginia | $34 | $281 | 2 | 16 | +0.1% |
| Alabama | $34 | $238 | 1 | 17 | +0.1% |
| California | $34 | $424 | 4 | 29 | +0.1% |
| New York | $34 | $321 | 31 | 1,335 | +0.0% |
| North Carolina | $34 | $251 | 3 | 1,031 | 0.0% |
| Maine | $34 | $85 | 3 | 295 | -0.3% |
| Minnesota | $34 | $115 | 9 | 115 | -0.7% |
| Wisconsin | $34 | $104 | 11 | 109 | -1.7% |
| Florida | $33 | $426 | 4 | 32 | -3.0% |
| Oklahoma | $33 | $291 | 2 | 40 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber