Detection test for gardnerella vaginalis (bacteria), quantification
Medicare pricing data for 141 providers across 13 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 for gardnerella vaginalis (bacteria), quantification (HCPCS code 87512) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.83, but hospitals typically charge $134.10 — a 3.3x 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 $40.83, your out-of-pocket cost would be approximately $8.17. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $40.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $41 | $94 | 4 | 52 | +0.2% |
| Illinois | $41 | $84 | 3 | 879 | +0.2% |
| Louisiana | $41 | $112 | 2 | 22 | +0.2% |
| Michigan | $41 | $108 | 8 | 39 | +0.2% |
| Mississippi | $41 | $104 | 3 | 210 | +0.2% |
| Tennessee | $41 | $105 | 19 | 703 | +0.2% |
| California | $41 | $96 | 2 | 51 | +0.2% |
| Colorado | $41 | $150 | 1 | 413 | +0.2% |
| New Jersey | $41 | $154 | 2 | 4,314 | +0.0% |
| Arkansas | $41 | $129 | 31 | 1,177 | -0.0% |
| Oklahoma | $41 | $109 | 2 | 183 | -0.2% |
| Texas | $40 | $146 | 24 | 340 | -0.9% |
| Indiana | $40 | $97 | 36 | 275 | -1.1% |
⚠️ 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