87482

Detection test for candida species (yeast), quantification

Medicare pricing data for 121 providers across 14 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 test for candida species (yeast), quantification (HCPCS code 87482) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.59, but hospitals typically charge $109.82 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.92

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $54.59, your out-of-pocket cost would be approximately $10.92. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$54.59
Average Hospital Charge
$109.82
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$109.82
Medicare Allowed$54.59
Medicare Payment$54.59

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $54.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$55$1123530+0.1%
Georgia$55$6014,881+0.1%
Illinois$55$12541,620+0.1%
Mississippi$55$1393484+0.1%
Texas$55$856650+0.1%
California$55$170112+0.1%
Colorado$55$1501365+0.1%
Maryland$55$15227,610+0.1%
Louisiana$55$13416560.0%
Arkansas$55$13927643-0.0%
Tennessee$55$139201,499-0.1%
Oklahoma$54$56113,553-0.2%
Michigan$54$84150-0.7%
Indiana$54$11236277-0.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber