Detection test by nucleic acid for herpes simplex virus, amplified probe technique
Medicare pricing data for 921 providers across 43 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 herpes simplex virus, amplified probe technique (HCPCS code 87529) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.35, but hospitals typically charge $76.69 — 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 $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.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.2x 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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $34 | $201 | 3 | 225 | +0.1% |
| Indiana | $34 | $71 | 17 | 158 | +0.1% |
| Kentucky | $34 | $112 | 3 | 47 | +0.1% |
| Louisiana | $34 | $74 | 16 | 282 | +0.1% |
| Maine | $34 | $111 | 2 | 36 | +0.1% |
| Maryland | $34 | $71 | 22 | 980 | +0.1% |
| Massachusetts | $34 | $139 | 11 | 690 | +0.1% |
| Mississippi | $34 | $75 | 6 | 197 | +0.1% |
| Nebraska | $34 | $61 | 3 | 55 | +0.1% |
| Nevada | $34 | $111 | 5 | 89 | +0.1% |
| Pennsylvania | $34 | $44 | 17 | 39,363 | +0.1% |
| South Carolina | $34 | $47 | 4 | 21 | +0.1% |
| South Dakota | $34 | $196 | 4 | 50 | +0.1% |
| Utah | $34 | $138 | 12 | 66 | +0.1% |
| Virginia | $34 | $72 | 8 | 202 | +0.1% |
| West Virginia | $34 | $245 | 2 | 35 | +0.1% |
| Puerto Rico | $34 | $60 | 3 | 14 | +0.1% |
| Arkansas | $34 | $57 | 12 | 91 | +0.1% |
| Colorado | $34 | $102 | 24 | 557 | +0.1% |
| Connecticut | $34 | $177 | 4 | 56 | +0.1% |
| Missouri | $34 | $54 | 5 | 617 | +0.1% |
| Ohio | $34 | $87 | 16 | 627 | +0.1% |
| Oklahoma | $34 | $58 | 14 | 7,128 | +0.1% |
| Alabama | $34 | $104 | 10 | 137 | +0.1% |
| Arizona | $34 | $85 | 5 | 9,681 | +0.1% |
| California | $34 | $55 | 58 | 27,006 | +0.1% |
| Texas | $34 | $81 | 145 | 80,366 | +0.1% |
| Michigan | $34 | $63 | 18 | 2,460 | -0.0% |
| North Carolina | $34 | $359 | 9 | 2,658 | -0.1% |
| Illinois | $34 | $72 | 53 | 4,103 | -0.1% |
| Kansas | $34 | $138 | 17 | 1,296 | -0.1% |
| New York | $34 | $138 | 40 | 1,750 | -0.2% |
| New Jersey | $34 | $139 | 39 | 6,976 | -0.2% |
| Oregon | $34 | $121 | 30 | 266 | -0.4% |
| Tennessee | $34 | $88 | 12 | 672 | -0.6% |
| Iowa | $34 | $108 | 16 | 383 | -0.6% |
| Washington | $34 | $68 | 101 | 1,949 | -0.6% |
| Florida | $34 | $71 | 38 | 8,659 | -0.8% |
| New Mexico | $34 | $136 | 5 | 113 | -0.8% |
| Hawaii | $34 | $103 | 2 | 170 | -0.8% |
| Wisconsin | $34 | $290 | 27 | 565 | -0.9% |
| Minnesota | $34 | $225 | 64 | 455 | -1.0% |
| North Dakota | $34 | $158 | 5 | 97 | -1.8% |
⚠️ 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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