Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets
Medicare pricing data for 448 providers across 21 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, 6-11 targets (HCPCS code 87506) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $257.13, but hospitals typically charge $536.38 — a 2.1x 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 $257.13, your out-of-pocket cost would be approximately $51.43. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $257.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $258 | $515 | 2 | 18 | +0.2% |
| Oklahoma | $258 | $371 | 2 | 95 | +0.2% |
| South Carolina | $258 | $394 | 1 | 21 | +0.2% |
| California | $258 | $560 | 13 | 148 | +0.2% |
| Tennessee | $258 | $405 | 1 | 3,753 | +0.2% |
| Pennsylvania | $258 | $484 | 20 | 1,057 | +0.2% |
| Louisiana | $258 | $385 | 40 | 235 | +0.2% |
| Florida | $258 | $697 | 32 | 1,190 | +0.2% |
| New Jersey | $257 | $561 | 13 | 19,672 | +0.1% |
| Arkansas | $257 | $542 | 11 | 2,470 | +0.1% |
| Maryland | $257 | $531 | 37 | 2,302 | +0.0% |
| Illinois | $257 | $672 | 7 | 327 | -0.2% |
| Minnesota | $257 | $532 | 171 | 428 | -0.2% |
| Arizona | $256 | $298 | 1 | 604 | -0.3% |
| Texas | $256 | $490 | 31 | 901 | -0.4% |
| Wisconsin | $255 | $793 | 24 | 104 | -0.7% |
| New York | $252 | $443 | 5 | 110 | -2.1% |
| Colorado | $247 | $641 | 7 | 233 | -3.8% |
| Mississippi | $242 | $579 | 6 | 121 | -5.9% |
| Virginia | $239 | $1,765 | 4 | 21 | -7.2% |
| Ohio | $220 | $285 | 3 | 15 | -14.5% |
⚠️ 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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