87624

Detection test by nucleic acid for human papillomavirus (hpv), high-risk types

Medicare pricing data for 1,770 providers across 47 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 human papillomavirus (hpv), high-risk types (HCPCS code 87624) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.29, but hospitals typically charge $136.17 — a 4.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.86

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.29, your out-of-pocket cost would be approximately $6.86. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.29
Average Hospital Charge
$136.17
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$136.17
Medicare Allowed$34.29
Medicare Payment$34.29

Hospitals charge 4.0x more than what Medicare allows for this procedure. Medicare actually pays $34.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$34$13491,952+0.4%
Idaho$34$586144+0.3%
Massachusetts$34$1341387,391+0.3%
Nebraska$34$1107511+0.3%
New Hampshire$34$561125+0.3%
New Mexico$34$1576657+0.3%
Rhode Island$34$80295+0.3%
Utah$34$1276429+0.3%
Tennessee$34$124415,958+0.3%
West Virginia$34$15955,105+0.3%
Kansas$34$133175,746+0.2%
Louisiana$34$139141,587+0.2%
Michigan$34$113151,589+0.2%
Missouri$34$8416279+0.2%
New York$34$1627021,068+0.2%
Pennsylvania$34$881611,952+0.2%
California$34$12914921,930+0.2%
Colorado$34$122165,662+0.2%
Montana$34$732239+0.2%
New Jersey$34$1608348,465+0.2%
Maryland$34$128133,530+0.1%
Oregon$34$103601,667+0.1%
Virginia$34$92221,065+0.1%
Arizona$34$132283,947+0.1%
Iowa$34$80121,445+0.1%
Maine$34$722147+0.1%
Oklahoma$34$118122,273+0.1%
Texas$34$13013324,764+0.1%
North Carolina$34$146219,804+0.0%
Puerto Rico$34$39111,3060.0%
Nevada$34$1125533-0.0%
Hawaii$34$1044534-0.1%
Ohio$34$78202,472-0.1%
Arkansas$34$10324772-0.3%
Washington$34$102994,182-0.4%
Florida$34$128658,674-0.6%
Mississippi$34$16610456-0.6%
Kentucky$34$1256725-0.6%
Illinois$34$134435,997-0.7%
Alabama$34$152153,354-0.7%
South Dakota$34$12710185-0.9%
Minnesota$34$1144121,606-1.1%
South Carolina$34$808445-1.1%
Indiana$34$10953932-1.1%
North Dakota$34$140535-1.8%
Wisconsin$33$192332,964-3.0%
Connecticut$32$126101,476-6.5%

⚠️ 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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