Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique
Medicare pricing data for 641 providers across 39 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 mycoplasma pneumoniae (bacteria), amplified probe technique (HCPCS code 87581) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.36, but hospitals typically charge $59.50 — 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 $34.36, 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 1.7x more than what Medicare allows for this procedure. Medicare actually pays $34.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $34 | $37 | 1 | 17 | +0.1% |
| District of Columbia | $34 | $35 | 1 | 111 | +0.1% |
| Idaho | $34 | $42 | 2 | 15 | +0.1% |
| Indiana | $34 | $53 | 6 | 525 | +0.1% |
| Iowa | $34 | $132 | 31 | 227 | +0.1% |
| Kansas | $34 | $94 | 4 | 92 | +0.1% |
| Michigan | $34 | $61 | 11 | 119 | +0.1% |
| Minnesota | $34 | $60 | 20 | 590 | +0.1% |
| Nebraska | $34 | $60 | 8 | 102 | +0.1% |
| Nevada | $34 | $82 | 6 | 457 | +0.1% |
| New Mexico | $34 | $108 | 6 | 530 | +0.1% |
| North Carolina | $34 | $92 | 9 | 255 | +0.1% |
| North Dakota | $34 | $124 | 2 | 28 | +0.1% |
| Pennsylvania | $34 | $51 | 17 | 7,868 | +0.1% |
| Utah | $34 | $105 | 1 | 170 | +0.1% |
| Virginia | $34 | $61 | 5 | 409 | +0.1% |
| West Virginia | $34 | $105 | 2 | 58 | +0.1% |
| Wisconsin | $34 | $105 | 5 | 2,944 | +0.1% |
| Puerto Rico | $34 | $39 | 6 | 11 | +0.1% |
| Arizona | $34 | $51 | 6 | 1,283 | +0.1% |
| Arkansas | $34 | $50 | 4 | 290 | +0.1% |
| Florida | $34 | $66 | 62 | 8,242 | +0.1% |
| New Jersey | $34 | $85 | 25 | 7,297 | +0.1% |
| New York | $34 | $73 | 16 | 16,928 | +0.1% |
| California | $34 | $49 | 67 | 40,249 | +0.1% |
| Colorado | $34 | $44 | 7 | 1,004 | +0.1% |
| Texas | $34 | $59 | 124 | 63,923 | +0.0% |
| Illinois | $34 | $50 | 18 | 3,320 | 0.0% |
| Oklahoma | $34 | $41 | 12 | 5,703 | -0.0% |
| Mississippi | $34 | $56 | 27 | 1,489 | -0.1% |
| Ohio | $34 | $69 | 8 | 444 | -0.1% |
| Maryland | $34 | $90 | 9 | 661 | -0.2% |
| Kentucky | $34 | $103 | 4 | 184 | -0.4% |
| Missouri | $34 | $53 | 2 | 1,543 | -0.5% |
| Oregon | $34 | $63 | 24 | 151 | -0.5% |
| Louisiana | $34 | $71 | 21 | 988 | -0.6% |
| Washington | $34 | $52 | 23 | 265 | -1.3% |
| Tennessee | $34 | $52 | 7 | 81 | -2.2% |
| Alabama | $31 | $43 | 15 | 541 | -8.6% |
⚠️ 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