87591

Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique

Medicare pricing data for 3,602 providers across 50 states

🤖AI Overview

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 neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique (HCPCS code 87591) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.33, but hospitals typically charge $90.67 — a 2.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.33, 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.

Average Allowed Cost
$34.33
Average Hospital Charge
$90.67
Markup Ratio
2.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.67
Medicare Allowed$34.33
Medicare Payment$34.33

Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $34.33 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$34$841043+0.2%
Hawaii$34$925344+0.2%
Maine$34$6134153+0.2%
Montana$34$851351+0.2%
Nebraska$34$6720341+0.2%
New Hampshire$34$7012110+0.2%
Rhode Island$34$904109+0.2%
Wyoming$34$851435+0.2%
Massachusetts$34$1062835,695+0.1%
Pennsylvania$34$493018,932+0.1%
Louisiana$34$78841,587+0.1%
New York$34$1922619,088+0.1%
California$34$9024332,841+0.1%
Georgia$34$105221,047+0.1%
West Virginia$34$11421,379+0.1%
Missouri$34$73401,684+0.1%
New Jersey$34$1264329,830+0.1%
Texas$34$6529936,833+0.1%
Arizona$34$667111,975+0.1%
Illinois$34$808910,5370.0%
Oklahoma$34$59428,4460.0%
Puerto Rico$34$4343485-0.0%
Florida$34$939120,662-0.1%
Kansas$34$100782,746-0.1%
Michigan$34$64343,057-0.1%
Colorado$34$103381,112-0.1%
Maryland$34$91542,606-0.1%
North Carolina$34$120896,374-0.1%
Utah$34$103491,856-0.1%
Virginia$34$70361,534-0.2%
Indiana$34$5434637-0.3%
Alabama$34$121572,531-0.4%
Iowa$34$8250234-0.4%
Ohio$34$113601,403-0.5%
South Dakota$34$11519121-0.5%
Minnesota$34$1424851,294-0.5%
Tennessee$34$11666812-0.5%
Nevada$34$10747937-0.6%
Oregon$34$7198854-0.6%
Kentucky$34$9935209-0.7%
New Mexico$34$11112218-0.8%
Arkansas$34$8376413-0.8%
South Carolina$34$8743279-0.8%
Connecticut$34$12623207-1.0%
Mississippi$34$9553420-1.2%
Washington$34$741612,728-1.3%
Idaho$34$811661-1.5%
Alaska$34$1713257-1.6%
Wisconsin$34$16670798-2.0%
North Dakota$33$1222167-2.7%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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