Detection test by nucleic acid for clostridium difficile, amplified probe technique
Medicare pricing data for 2,841 providers across 48 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 by nucleic acid for clostridium difficile, amplified probe technique (HCPCS code 87493) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.41, but hospitals typically charge $116.62 — a 3.2x 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 $36.41, your out-of-pocket cost would be approximately $7.28. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $36.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $37 | $69 | 2 | 15 | +0.3% |
| Kentucky | $37 | $83 | 7 | 486 | +0.3% |
| Michigan | $37 | $136 | 8 | 113 | +0.3% |
| Missouri | $37 | $75 | 57 | 426 | +0.3% |
| Nebraska | $37 | $100 | 2 | 190 | +0.3% |
| Nevada | $37 | $112 | 5 | 813 | +0.3% |
| New Hampshire | $37 | $111 | 48 | 110 | +0.3% |
| New Mexico | $37 | $160 | 4 | 29 | +0.3% |
| Oklahoma | $37 | $146 | 7 | 351 | +0.3% |
| Pennsylvania | $37 | $53 | 13 | 21,837 | +0.3% |
| Rhode Island | $37 | $78 | 2 | 49 | +0.3% |
| West Virginia | $37 | $137 | 2 | 14 | +0.3% |
| Wyoming | $37 | $182 | 16 | 42 | +0.3% |
| Alaska | $37 | $264 | 13 | 18 | +0.3% |
| Kansas | $37 | $153 | 43 | 2,829 | +0.3% |
| Massachusetts | $36 | $143 | 268 | 2,826 | +0.2% |
| Hawaii | $36 | $94 | 2 | 693 | +0.2% |
| New Jersey | $36 | $192 | 102 | 6,014 | +0.2% |
| Ohio | $36 | $99 | 147 | 3,677 | +0.2% |
| Colorado | $36 | $133 | 9 | 666 | +0.2% |
| Georgia | $36 | $153 | 30 | 674 | +0.2% |
| Florida | $36 | $134 | 47 | 6,125 | +0.1% |
| Iowa | $36 | $133 | 9 | 874 | +0.1% |
| New York | $36 | $122 | 117 | 4,163 | +0.1% |
| Indiana | $36 | $53 | 7 | 498 | +0.1% |
| North Carolina | $36 | $148 | 62 | 5,654 | +0.1% |
| Texas | $36 | $138 | 161 | 7,475 | +0.1% |
| South Dakota | $36 | $141 | 24 | 337 | +0.1% |
| Virginia | $36 | $119 | 45 | 2,572 | +0.0% |
| Maine | $36 | $77 | 3 | 289 | 0.0% |
| California | $36 | $136 | 43 | 7,075 | -0.1% |
| Tennessee | $36 | $133 | 183 | 2,675 | -0.1% |
| Illinois | $36 | $106 | 299 | 6,681 | -0.1% |
| Arizona | $36 | $151 | 48 | 2,592 | -0.1% |
| Utah | $36 | $70 | 85 | 361 | -0.2% |
| Louisiana | $36 | $85 | 37 | 659 | -0.2% |
| North Dakota | $36 | $169 | 15 | 460 | -0.2% |
| Alabama | $36 | $139 | 20 | 1,623 | -0.4% |
| Washington | $36 | $141 | 198 | 2,263 | -0.4% |
| Oregon | $36 | $94 | 50 | 1,131 | -0.6% |
| Maryland | $36 | $114 | 41 | 1,466 | -0.7% |
| Montana | $36 | $88 | 2 | 63 | -0.7% |
| Wisconsin | $36 | $165 | 49 | 2,093 | -0.9% |
| Minnesota | $36 | $140 | 448 | 1,750 | -1.0% |
| South Carolina | $35 | $122 | 12 | 90 | -3.9% |
| Mississippi | $35 | $107 | 8 | 91 | -4.3% |
| Idaho | $34 | $93 | 14 | 57 | -6.3% |
| Arkansas | $31 | $45 | 17 | 244 | -13.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber