Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique
Medicare pricing data for 309 providers across 30 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 cytomegalovirus (cmv), amplified probe technique (HCPCS code 87496) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $80.17 — a 2.3x 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 $34.36, 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.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $34.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $34 | $378 | 2 | 93 | +0.1% |
| Hawaii | $34 | $454 | 2 | 32 | +0.1% |
| Indiana | $34 | $41 | 3 | 479 | +0.1% |
| Iowa | $34 | $71 | 8 | 238 | +0.1% |
| Kansas | $34 | $378 | 4 | 52 | +0.1% |
| Louisiana | $34 | $98 | 3 | 87 | +0.1% |
| Maryland | $34 | $99 | 4 | 176 | +0.1% |
| Massachusetts | $34 | $380 | 3 | 80 | +0.1% |
| Minnesota | $34 | $269 | 3 | 19 | +0.1% |
| Nevada | $34 | $195 | 3 | 32 | +0.1% |
| New York | $34 | $306 | 6 | 50 | +0.1% |
| North Carolina | $34 | $371 | 1 | 588 | +0.1% |
| Ohio | $34 | $120 | 4 | 433 | +0.1% |
| Oklahoma | $34 | $123 | 5 | 261 | +0.1% |
| Oregon | $34 | $250 | 3 | 24 | +0.1% |
| Tennessee | $34 | $283 | 4 | 23 | +0.1% |
| Utah | $34 | $105 | 5 | 200 | +0.1% |
| Washington | $34 | $77 | 6 | 775 | +0.1% |
| Wisconsin | $34 | $99 | 2 | 21 | +0.1% |
| Alabama | $34 | $357 | 6 | 172 | +0.1% |
| Arizona | $34 | $56 | 5 | 8,290 | +0.1% |
| Florida | $34 | $110 | 19 | 4,670 | +0.1% |
| New Jersey | $34 | $159 | 23 | 2,374 | +0.0% |
| Texas | $34 | $58 | 101 | 20,856 | +0.0% |
| Illinois | $34 | $54 | 23 | 3,295 | 0.0% |
| California | $34 | $291 | 13 | 473 | 0.0% |
| Pennsylvania | $34 | $108 | 9 | 410 | -0.1% |
| Missouri | $34 | $54 | 3 | 1,494 | -0.5% |
| Colorado | $34 | $150 | 22 | 198 | -0.8% |
| Virginia | $34 | $71 | 6 | 153 | -1.0% |
⚠️ 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