Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 3-5 targets
Medicare pricing data for 615 providers across 34 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 digestive tract pathogen, multiple types or subtypes, 3-5 targets (HCPCS code 87505) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.77, but hospitals typically charge $280.57 — a 2.2x 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 $124.77, your out-of-pocket cost would be approximately $24.95. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $124.77 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $126 | $466 | 6 | 90 | +0.8% |
| Idaho | $126 | $225 | 4 | 82 | +0.8% |
| Illinois | $126 | $257 | 3 | 181 | +0.8% |
| Indiana | $126 | $238 | 3 | 147 | +0.8% |
| Kentucky | $126 | $191 | 2 | 39 | +0.8% |
| Maine | $126 | $232 | 1 | 38 | +0.8% |
| Minnesota | $126 | $332 | 2 | 63 | +0.8% |
| Missouri | $126 | $437 | 3 | 11 | +0.8% |
| Nebraska | $126 | $175 | 1 | 29 | +0.8% |
| New Mexico | $126 | $331 | 2 | 376 | +0.8% |
| New York | $126 | $499 | 4 | 40 | +0.8% |
| Oklahoma | $126 | $192 | 2 | 11 | +0.8% |
| South Carolina | $126 | $163 | 3 | 54 | +0.8% |
| Colorado | $126 | $332 | 4 | 60 | +0.8% |
| Washington | $126 | $255 | 16 | 187 | +0.7% |
| Pennsylvania | $126 | $162 | 4 | 1,801 | +0.7% |
| Alabama | $126 | $236 | 25 | 195 | +0.6% |
| North Carolina | $125 | $194 | 56 | 1,556 | +0.6% |
| Texas | $125 | $218 | 14 | 39 | +0.5% |
| Tennessee | $125 | $322 | 41 | 546 | +0.5% |
| Virginia | $125 | $543 | 6 | 62 | +0.5% |
| Iowa | $125 | $334 | 59 | 269 | +0.4% |
| Oregon | $125 | $381 | 2 | 141 | +0.2% |
| Louisiana | $125 | $261 | 3 | 117 | +0.1% |
| Utah | $125 | $214 | 18 | 31 | +0.0% |
| Kansas | $125 | $329 | 7 | 82 | -0.1% |
| Wisconsin | $125 | $318 | 12 | 382 | -0.2% |
| New Jersey | $124 | $153 | 7 | 194 | -0.5% |
| Ohio | $124 | $206 | 13 | 167 | -0.6% |
| California | $124 | $351 | 22 | 2,424 | -1.0% |
| Massachusetts | $124 | $470 | 252 | 548 | -1.0% |
| Georgia | $119 | $537 | 2 | 17 | -4.3% |
| Arizona | $115 | $210 | 3 | 12 | -7.6% |
| Michigan | $113 | $584 | 4 | 49 | -9.1% |
⚠️ 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