Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique
Medicare pricing data for 73 providers across 16 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 mycobacteria species (bacteria), amplified probe technique (HCPCS code 87551) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.16, but hospitals typically charge $65.70 — a 1.4x 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 $47.16, your out-of-pocket cost would be approximately $9.43. 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 1.4x more than what Medicare allows for this procedure. Medicare actually pays $47.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $47 | $90 | 6 | 346 | +0.3% |
| Georgia | $47 | $96 | 1 | 16 | +0.3% |
| Maryland | $47 | $50 | 1 | 66 | +0.3% |
| Minnesota | $47 | $86 | 2 | 1,126 | +0.3% |
| New Mexico | $47 | $129 | 2 | 59 | +0.3% |
| Ohio | $47 | $105 | 3 | 46 | +0.3% |
| Pennsylvania | $47 | $230 | 2 | 15 | +0.3% |
| Virginia | $47 | $92 | 2 | 431 | +0.3% |
| Washington | $47 | $343 | 2 | 82 | +0.3% |
| Arizona | $47 | $50 | 3 | 917 | +0.3% |
| Oklahoma | $47 | $48 | 3 | 1,909 | +0.2% |
| Texas | $47 | $81 | 19 | 5,965 | +0.2% |
| Arkansas | $47 | $57 | 3 | 12,765 | -0.0% |
| Illinois | $47 | $54 | 2 | 1,614 | -0.1% |
| California | $47 | $67 | 10 | 7,290 | -0.2% |
| North Carolina | $47 | $75 | 2 | 510 | -0.6% |
⚠️ 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