87484

Detection of ehrlichia chaffeensis by amplified nucleic acid probe technique

Medicare pricing data for 150 providers across 22 states

🤖AI Overview

This procedure has a 10.3x markup — hospitals charge $352.38 but Medicare allows only $34.35. Uninsured patients may face bills 10.3 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 ehrlichia chaffeensis by amplified nucleic acid probe technique (HCPCS code 87484) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.35, but hospitals typically charge $352.38 — a 10.3x 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 $34.35, 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
$34.35
Average Hospital Charge
$352.38
Markup Ratio
10.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$352.38
Medicare Allowed$34.35
Medicare Payment$34.30

Hospitals charge 10.3x more than what Medicare allows for this procedure. Medicare actually pays $34.30 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$35$434429+0.6%
Ohio$34$266260+0.1%
Florida$34$438437+0.1%
Georgia$34$407190+0.1%
Illinois$34$445145+0.1%
Kansas$34$4313170+0.1%
Maryland$34$445236+0.1%
Massachusetts$34$45442,621+0.1%
New Hampshire$34$363892+0.1%
New Jersey$34$37441,818+0.1%
North Carolina$34$2333597+0.1%
Pennsylvania$34$4124256+0.1%
Rhode Island$34$140157+0.1%
Tennessee$34$97243+0.1%
Texas$34$264435+0.1%
Virginia$34$306216+0.1%
Alabama$34$230117+0.1%
New York$34$235311,296+0.1%
Maine$34$77337-0.8%
Minnesota$34$11911116-1.6%
Wisconsin$34$112892-2.1%
Oklahoma$33$301243-3.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber