87471

Detection by nucleic acid bartonella henselae and bartonella quintana (bacteria), amplified probe technique

Medicare pricing data for 76 providers across 15 states

🤖AI Overview

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 by nucleic acid bartonella henselae and bartonella quintana (bacteria), amplified probe technique (HCPCS code 87471) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.33, but hospitals typically charge $67.58 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.33, 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.

Average Allowed Cost
$34.33
Average Hospital Charge
$67.58
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$67.58
Medicare Allowed$34.33
Medicare Payment$34.33

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $34.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$34$797327+0.2%
Indiana$34$4031,045+0.2%
Louisiana$34$7121,347+0.2%
Massachusetts$34$446226+0.2%
Mississippi$34$531137+0.2%
New Jersey$34$429461+0.2%
New York$34$380225+0.2%
North Carolina$34$397159+0.2%
Pennsylvania$34$5761,018+0.2%
Texas$34$69122,010+0.2%
Virginia$34$1144438+0.2%
West Virginia$34$105115+0.2%
Arizona$34$524905+0.2%
California$34$2087666+0.2%
Arkansas$34$54110,259-0.1%

⚠️ 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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