Detection test by nucleic acid for mycobacteria avium-intracellulare (bacteria), amplified probe technique
Medicare pricing data for 46 providers across 5 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 avium-intracellulare (bacteria), amplified probe technique (HCPCS code 87561) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.38, but hospitals typically charge $57.77 — 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 $34.38, your out-of-pocket cost would be approximately $6.88. 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 $34.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $34 | $53 | 1 | 96 | +0.0% |
| Pennsylvania | $34 | $52 | 2 | 452 | +0.0% |
| California | $34 | $54 | 9 | 7,193 | +0.0% |
| Texas | $34 | $65 | 17 | 3,469 | -0.0% |
| Louisiana | $34 | $70 | 1 | 316 | -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