87500

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique

Medicare pricing data for 1,564 providers across 41 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 by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS code 87500) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.35, but hospitals typically charge $64.00 — a 1.9x 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
$64.00
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$64.00
Medicare Allowed$34.35
Medicare Payment$34.35

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $34.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$34$40222+0.1%
Indiana$34$39613,081+0.1%
Louisiana$34$573619,048+0.1%
Minnesota$34$58113+0.1%
Nebraska$34$6419297+0.1%
Nevada$34$55225+0.1%
Oregon$34$601971+0.1%
Pennsylvania$34$462974,139+0.1%
Rhode Island$34$7022206+0.1%
Utah$34$10531,890+0.1%
Wisconsin$34$8012132+0.1%
Wyoming$34$355144+0.1%
Connecticut$34$69216+0.1%
Michigan$34$53192,481+0.1%
Arizona$34$501312,509+0.1%
California$34$577123,365+0.1%
Colorado$34$81729,811+0.1%
North Carolina$34$4589,143+0.1%
Maryland$34$1146014,947+0.0%
Massachusetts$34$83593,885+0.0%
Mississippi$34$779012,037+0.0%
Oklahoma$34$574217,467+0.0%
Texas$34$67346122,145+0.0%
Illinois$34$567316,4720.0%
New Jersey$34$59396,5410.0%
Washington$34$102178280.0%
Florida$34$6410863,052-0.0%
Kansas$34$71202,106-0.1%
New York$34$1183712,270-0.1%
Iowa$34$7110255-0.1%
Ohio$34$70372,636-0.1%
Arkansas$34$843317,603-0.1%
Georgia$34$57362,264-0.1%
Idaho$34$5511217-0.2%
Virginia$34$655510,313-0.3%
Tennessee$34$5725989-0.3%
Kentucky$34$4314654-0.6%
South Carolina$34$4611777-1.0%
New Mexico$34$779348-1.2%
Alabama$34$69503,141-1.6%
Missouri$33$60324,681-2.5%

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

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