Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only
Medicare pricing data for 505 providers across 38 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 human papillomavirus (hpv), types 16 and 18 only (HCPCS code 87625) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.70, but hospitals typically charge $86.27 — a 2.2x 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 $39.70, your out-of-pocket cost would be approximately $7.94. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $39.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $40 | $135 | 1 | 96 | +0.1% |
| Indiana | $40 | $106 | 4 | 22 | +0.1% |
| Iowa | $40 | $120 | 2 | 20 | +0.1% |
| Kansas | $40 | $132 | 9 | 257 | +0.1% |
| Kentucky | $40 | $116 | 3 | 55 | +0.1% |
| Massachusetts | $40 | $133 | 32 | 384 | +0.1% |
| Michigan | $40 | $89 | 4 | 17 | +0.1% |
| Minnesota | $40 | $85 | 7 | 37 | +0.1% |
| Mississippi | $40 | $139 | 2 | 29 | +0.1% |
| Missouri | $40 | $54 | 7 | 390 | +0.1% |
| Montana | $40 | $73 | 2 | 21 | +0.1% |
| Nebraska | $40 | $111 | 4 | 30 | +0.1% |
| Nevada | $40 | $154 | 2 | 62 | +0.1% |
| New Mexico | $40 | $193 | 1 | 34 | +0.1% |
| New York | $40 | $258 | 30 | 835 | +0.1% |
| North Carolina | $40 | $122 | 10 | 537 | +0.1% |
| North Dakota | $40 | $141 | 1 | 12 | +0.1% |
| Ohio | $40 | $115 | 5 | 77 | +0.1% |
| Oregon | $40 | $87 | 28 | 152 | +0.1% |
| Pennsylvania | $40 | $50 | 5 | 13,510 | +0.1% |
| Virginia | $40 | $66 | 6 | 30 | +0.1% |
| West Virginia | $40 | $134 | 1 | 273 | +0.1% |
| Wisconsin | $40 | $156 | 6 | 53 | +0.1% |
| Arizona | $40 | $228 | 3 | 263 | +0.1% |
| Arkansas | $40 | $62 | 3 | 39 | +0.1% |
| Colorado | $40 | $126 | 7 | 249 | +0.1% |
| Illinois | $40 | $80 | 12 | 1,168 | +0.1% |
| California | $40 | $122 | 88 | 1,382 | +0.0% |
| New Jersey | $40 | $136 | 11 | 1,352 | 0.0% |
| Louisiana | $40 | $112 | 9 | 175 | -0.0% |
| Oklahoma | $40 | $134 | 5 | 93 | -0.1% |
| Tennessee | $40 | $111 | 30 | 452 | -0.1% |
| Maryland | $40 | $124 | 8 | 210 | -0.3% |
| Texas | $40 | $124 | 60 | 1,353 | -0.4% |
| Florida | $40 | $107 | 31 | 1,391 | -0.4% |
| Washington | $40 | $82 | 35 | 282 | -0.5% |
| Alabama | $39 | $132 | 7 | 160 | -0.7% |
| Connecticut | $39 | $144 | 6 | 109 | -2.6% |
⚠️ 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