87532

Detection test by nucleic acid for herpes virus-6, amplified probe technique

Medicare pricing data for 169 providers across 18 states

🤖AI Overview

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 virus-6, amplified probe technique (HCPCS code 87532) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.37, but hospitals typically charge $53.29 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.37, 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.

Average Allowed Cost
$34.37
Average Hospital Charge
$53.29
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$53.29
Medicare Allowed$34.37
Medicare Payment$34.37

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $34.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Illinois$34$4041,839+0.1%
Indiana$34$392474+0.1%
Louisiana$34$70279+0.1%
Maryland$34$412418+0.1%
Michigan$34$53213+0.1%
Minnesota$34$367220+0.1%
Ohio$34$701350+0.1%
Oklahoma$34$702215+0.1%
Utah$34$1051169+0.1%
Virginia$34$673150+0.1%
Arizona$34$5028,122+0.1%
California$34$195322+0.1%
Florida$34$71164,059+0.0%
Texas$34$478113,621+0.0%
New Jersey$34$75191,979-0.1%
Pennsylvania$34$583420-0.1%
Missouri$34$5321,491-0.5%
Colorado$34$731193-1.9%

⚠️ 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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