Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets
Medicare pricing data for 326 providers across 26 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, 12-25 targets (HCPCS code 87507) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $404.66, but hospitals typically charge $910.65 — 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 $404.66, your out-of-pocket cost would be approximately $80.93. 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 $404.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $408 | $1,237 | 6 | 384 | +0.9% |
| Indiana | $408 | $1,216 | 3 | 11 | +0.9% |
| Iowa | $408 | $544 | 3 | 17 | +0.9% |
| Maryland | $408 | $1,125 | 8 | 21 | +0.9% |
| Massachusetts | $408 | $500 | 1 | 59 | +0.9% |
| Mississippi | $408 | $1,588 | 20 | 35 | +0.9% |
| Ohio | $408 | $834 | 3 | 699 | +0.9% |
| Pennsylvania | $408 | $661 | 2 | 28 | +0.9% |
| Rhode Island | $408 | $834 | 1 | 17 | +0.9% |
| South Dakota | $408 | $1,120 | 8 | 17 | +0.9% |
| Arkansas | $408 | $845 | 5 | 397 | +0.9% |
| California | $408 | $726 | 26 | 3,735 | +0.9% |
| New York | $408 | $1,661 | 34 | 1,487 | +0.9% |
| Kansas | $408 | $983 | 2 | 41 | +0.7% |
| New Jersey | $408 | $670 | 15 | 694 | +0.7% |
| Oklahoma | $407 | $730 | 3 | 38 | +0.7% |
| Arizona | $406 | $814 | 2 | 260 | +0.4% |
| Tennessee | $406 | $636 | 3 | 16 | +0.4% |
| Illinois | $405 | $1,094 | 10 | 176 | -0.0% |
| Wisconsin | $404 | $1,393 | 26 | 274 | -0.1% |
| North Carolina | $402 | $717 | 4 | 539 | -0.7% |
| Alabama | $399 | $487 | 4 | 346 | -1.4% |
| Minnesota | $396 | $897 | 72 | 596 | -2.1% |
| North Dakota | $392 | $1,534 | 3 | 19 | -3.0% |
| Washington | $389 | $683 | 3 | 91 | -4.0% |
| Texas | $372 | $603 | 34 | 528 | -8.1% |
⚠️ 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