Detection test for candida species (yeast), direct probe technique
Medicare pricing data for 2,184 providers across 45 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 for candida species (yeast), direct probe technique (HCPCS code 87480) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.57, but hospitals typically charge $84.33 — a 4.3x 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 $19.57, your out-of-pocket cost would be approximately $3.91. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $19.57 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $20 | $62 | 64 | 161 | +0.4% |
| Maryland | $20 | $110 | 7 | 426 | +0.4% |
| Michigan | $20 | $45 | 7 | 176 | +0.4% |
| New Hampshire | $20 | $35 | 3 | 209 | +0.4% |
| Ohio | $20 | $89 | 14 | 1,253 | +0.4% |
| Oklahoma | $20 | $63 | 2 | 163 | +0.4% |
| Rhode Island | $20 | $49 | 2 | 25 | +0.4% |
| Tennessee | $20 | $71 | 5 | 261 | +0.4% |
| Utah | $20 | $61 | 63 | 455 | +0.4% |
| Wyoming | $20 | $74 | 4 | 20 | +0.4% |
| Alaska | $20 | $119 | 41 | 104 | +0.4% |
| New Jersey | $20 | $108 | 48 | 3,910 | +0.4% |
| Florida | $20 | $81 | 12 | 2,360 | +0.3% |
| California | $20 | $83 | 45 | 4,112 | +0.3% |
| Hawaii | $20 | $53 | 2 | 418 | +0.2% |
| North Dakota | $20 | $81 | 5 | 221 | +0.2% |
| Arizona | $20 | $74 | 38 | 1,866 | +0.2% |
| South Carolina | $20 | $120 | 14 | 98 | +0.2% |
| Virginia | $20 | $78 | 19 | 432 | +0.2% |
| Pennsylvania | $20 | $68 | 25 | 1,168 | +0.1% |
| Texas | $20 | $99 | 82 | 3,298 | +0.1% |
| Illinois | $20 | $112 | 188 | 1,443 | 0.0% |
| Massachusetts | $20 | $104 | 53 | 1,066 | 0.0% |
| North Carolina | $20 | $88 | 138 | 1,561 | 0.0% |
| Indiana | $20 | $93 | 3 | 623 | -0.1% |
| Kansas | $20 | $72 | 65 | 984 | -0.1% |
| Washington | $20 | $114 | 27 | 1,091 | -0.1% |
| Oregon | $20 | $49 | 111 | 1,425 | -0.2% |
| New York | $20 | $79 | 161 | 3,587 | -0.3% |
| Nebraska | $20 | $50 | 55 | 493 | -0.4% |
| Iowa | $19 | $67 | 127 | 868 | -0.4% |
| Wisconsin | $19 | $131 | 70 | 175 | -0.5% |
| Minnesota | $19 | $73 | 409 | 1,602 | -0.5% |
| Mississippi | $19 | $71 | 68 | 858 | -0.6% |
| Colorado | $19 | $71 | 24 | 340 | -0.6% |
| South Dakota | $19 | $29 | 24 | 99 | -0.6% |
| Missouri | $19 | $49 | 19 | 75 | -0.7% |
| Idaho | $19 | $56 | 26 | 152 | -0.8% |
| Alabama | $19 | $114 | 1 | 283 | -0.8% |
| West Virginia | $19 | $37 | 7 | 81 | -0.8% |
| Connecticut | $19 | $74 | 12 | 714 | -0.9% |
| Louisiana | $19 | $56 | 8 | 56 | -1.2% |
| Nevada | $19 | $88 | 60 | 538 | -1.2% |
| Arkansas | $19 | $48 | 18 | 84 | -2.0% |
| Montana | $19 | $45 | 3 | 114 | -2.2% |
⚠️ 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