Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique
Medicare pricing data for 223 providers across 24 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 tuberculosis (tb bacteria), amplified probe technique (HCPCS code 87556) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.78, but hospitals typically charge $67.53 — a 1.7x 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 $40.78, your out-of-pocket cost would be approximately $8.16. 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 1.7x more than what Medicare allows for this procedure. Medicare actually pays $40.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $41 | $196 | 4 | 19 | +0.2% |
| Hawaii | $41 | $154 | 2 | 40 | +0.2% |
| Illinois | $41 | $59 | 6 | 3,079 | +0.2% |
| Michigan | $41 | $83 | 1 | 19 | +0.2% |
| North Carolina | $41 | $241 | 2 | 935 | +0.2% |
| Ohio | $41 | $86 | 6 | 993 | +0.2% |
| Oklahoma | $41 | $64 | 5 | 65 | +0.2% |
| Washington | $41 | $231 | 3 | 106 | +0.2% |
| Wyoming | $41 | $577 | 1 | 115 | +0.2% |
| Alabama | $41 | $241 | 1 | 18 | +0.2% |
| Pennsylvania | $41 | $51 | 7 | 16,901 | +0.1% |
| Virginia | $41 | $54 | 5 | 3,508 | +0.1% |
| California | $41 | $100 | 21 | 1,615 | +0.1% |
| Texas | $41 | $54 | 58 | 15,558 | +0.1% |
| Maryland | $41 | $45 | 2 | 1,082 | +0.1% |
| Missouri | $41 | $66 | 3 | 2,584 | +0.0% |
| Florida | $41 | $78 | 22 | 4,830 | +0.0% |
| New York | $41 | $119 | 12 | 4,916 | -0.1% |
| Kansas | $41 | $87 | 2 | 380 | -0.3% |
| Colorado | $41 | $84 | 19 | 397 | -0.3% |
| New Jersey | $40 | $50 | 7 | 3,866 | -1.5% |
| Minnesota | $40 | $428 | 6 | 25 | -2.8% |
| Mississippi | $39 | $72 | 1 | 24 | -3.7% |
| Arizona | $39 | $187 | 6 | 17 | -4.6% |
⚠️ 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