Detection of mycoplasma genitalium by dna or rna probe
Medicare pricing data for 529 providers across 36 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 of mycoplasma genitalium by dna or rna probe (HCPCS code 87563) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.35, but hospitals typically charge $66.02 — a 1.9x 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 1.9x 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 | $166 | 4 | 49 | +0.1% |
| Kentucky | $34 | $73 | 6 | 64 | +0.1% |
| Louisiana | $34 | $75 | 10 | 1,411 | +0.1% |
| Maryland | $34 | $79 | 11 | 8,528 | +0.1% |
| Massachusetts | $34 | $130 | 9 | 167 | +0.1% |
| Mississippi | $34 | $46 | 4 | 168 | +0.1% |
| Nevada | $34 | $95 | 3 | 133 | +0.1% |
| North Carolina | $34 | $111 | 5 | 924 | +0.1% |
| Ohio | $34 | $88 | 7 | 172 | +0.1% |
| Oregon | $34 | $58 | 13 | 29 | +0.1% |
| Rhode Island | $34 | $60 | 1 | 13 | +0.1% |
| Utah | $34 | $71 | 3 | 28 | +0.1% |
| Virginia | $34 | $53 | 8 | 358 | +0.1% |
| West Virginia | $34 | $107 | 1 | 11 | +0.1% |
| Arkansas | $34 | $61 | 3 | 208 | +0.1% |
| Michigan | $34 | $58 | 15 | 2,101 | +0.1% |
| Pennsylvania | $34 | $51 | 14 | 27,008 | +0.1% |
| Arizona | $34 | $52 | 10 | 8,784 | +0.1% |
| Florida | $34 | $63 | 44 | 18,727 | +0.0% |
| Missouri | $34 | $59 | 7 | 3,918 | +0.0% |
| California | $34 | $83 | 41 | 4,388 | +0.0% |
| Colorado | $34 | $71 | 21 | 1,996 | +0.0% |
| Texas | $34 | $61 | 118 | 21,230 | -0.0% |
| Indiana | $34 | $42 | 10 | 565 | -0.1% |
| New Jersey | $34 | $96 | 19 | 12,095 | -0.1% |
| Oklahoma | $34 | $65 | 17 | 8,053 | -0.1% |
| Kansas | $34 | $79 | 7 | 1,332 | -0.1% |
| Tennessee | $34 | $40 | 9 | 472 | -0.1% |
| Illinois | $34 | $65 | 33 | 2,477 | -0.3% |
| New York | $34 | $101 | 29 | 2,362 | -0.4% |
| Washington | $34 | $114 | 13 | 316 | -0.8% |
| Wisconsin | $34 | $111 | 7 | 825 | -0.9% |
| Puerto Rico | $34 | $45 | 3 | 91 | -1.0% |
| New Mexico | $34 | $90 | 1 | 56 | -1.4% |
| Minnesota | $34 | $273 | 5 | 80 | -2.4% |
| Alabama | $33 | $53 | 8 | 49 | -4.3% |
⚠️ 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