Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique
Medicare pricing data for 196 providers across 24 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 enterovirus (intestinal virus), amplified probe technique (HCPCS code 87498) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.38, but hospitals typically charge $58.64 — a 1.7x 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 $34.38, your out-of-pocket cost would be approximately $6.88. 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 1.7x more than what Medicare allows for this procedure. Medicare actually pays $34.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $34 | $35 | 1 | 109 | +0.0% |
| Florida | $34 | $69 | 14 | 2,456 | +0.0% |
| Georgia | $34 | $67 | 4 | 21 | +0.0% |
| Illinois | $34 | $46 | 5 | 1,967 | +0.0% |
| Indiana | $34 | $39 | 3 | 486 | +0.0% |
| Kansas | $34 | $211 | 2 | 12 | +0.0% |
| Michigan | $34 | $54 | 6 | 108 | +0.0% |
| Mississippi | $34 | $70 | 5 | 134 | +0.0% |
| Nevada | $34 | $159 | 2 | 13 | +0.0% |
| New York | $34 | $65 | 4 | 418 | +0.0% |
| North Carolina | $34 | $61 | 3 | 247 | +0.0% |
| Ohio | $34 | $70 | 9 | 385 | +0.0% |
| Pennsylvania | $34 | $93 | 2 | 154 | +0.0% |
| Texas | $34 | $60 | 58 | 45,499 | +0.0% |
| Arkansas | $34 | $51 | 3 | 285 | +0.0% |
| California | $34 | $52 | 15 | 15,911 | +0.0% |
| Louisiana | $34 | $84 | 2 | 658 | -0.1% |
| New Jersey | $34 | $67 | 9 | 1,433 | -0.1% |
| Maryland | $34 | $46 | 2 | 292 | -0.1% |
| Oklahoma | $34 | $64 | 7 | 486 | -0.1% |
| Virginia | $34 | $67 | 4 | 177 | -0.5% |
| Missouri | $34 | $53 | 2 | 1,613 | -0.6% |
| Alabama | $34 | $47 | 10 | 440 | -2.3% |
| New Mexico | $34 | $78 | 5 | 39 | -2.5% |
⚠️ 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