Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
Medicare pricing data for 1,942 providers across 44 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 staphylococcus aureus (bacteria), amplified probe technique (HCPCS code 87640) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.33, but hospitals typically charge $62.02 — a 1.8x 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 $34.33, 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.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.8x 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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Michigan | $34 | $49 | 23 | 3,391 | +0.2% |
| Idaho | $34 | $62 | 11 | 58 | +0.2% |
| Nebraska | $34 | $64 | 20 | 296 | +0.2% |
| Nevada | $34 | $52 | 4 | 100 | +0.2% |
| New Hampshire | $34 | $90 | 5 | 18 | +0.2% |
| North Carolina | $34 | $43 | 7 | 6,267 | +0.2% |
| North Dakota | $34 | $150 | 2 | 15 | +0.2% |
| Rhode Island | $34 | $70 | 22 | 203 | +0.2% |
| Utah | $34 | $107 | 13 | 2,058 | +0.2% |
| West Virginia | $34 | $105 | 1 | 16 | +0.2% |
| Connecticut | $34 | $50 | 2 | 16 | +0.2% |
| Indiana | $34 | $40 | 10 | 13,887 | +0.1% |
| Massachusetts | $34 | $96 | 62 | 6,117 | +0.1% |
| Pennsylvania | $34 | $49 | 33 | 50,988 | +0.1% |
| California | $34 | $53 | 106 | 69,620 | +0.1% |
| Maryland | $34 | $76 | 86 | 23,178 | +0.1% |
| Colorado | $34 | $64 | 87 | 7,403 | +0.1% |
| Texas | $34 | $57 | 412 | 191,149 | +0.1% |
| Illinois | $34 | $65 | 99 | 23,371 | +0.1% |
| New Jersey | $34 | $74 | 49 | 17,301 | +0.1% |
| Oklahoma | $34 | $54 | 53 | 23,023 | +0.1% |
| New Mexico | $34 | $61 | 11 | 647 | +0.0% |
| Florida | $34 | $64 | 112 | 64,854 | 0.0% |
| Kansas | $34 | $123 | 7 | 1,999 | 0.0% |
| Kentucky | $34 | $51 | 11 | 1,003 | 0.0% |
| Arizona | $34 | $53 | 16 | 1,853 | 0.0% |
| New York | $34 | $109 | 50 | 17,221 | -0.0% |
| Delaware | $34 | $73 | 22 | 2,765 | -0.1% |
| Georgia | $34 | $53 | 18 | 682 | -0.1% |
| Mississippi | $34 | $86 | 104 | 16,006 | -0.1% |
| Washington | $34 | $75 | 28 | 1,928 | -0.1% |
| Missouri | $34 | $117 | 12 | 3,243 | -0.2% |
| Ohio | $34 | $69 | 33 | 2,868 | -0.2% |
| Tennessee | $34 | $74 | 39 | 2,706 | -0.2% |
| Arkansas | $34 | $69 | 59 | 21,248 | -0.2% |
| Iowa | $34 | $80 | 13 | 306 | -0.3% |
| Minnesota | $34 | $68 | 58 | 638 | -0.3% |
| Virginia | $34 | $57 | 56 | 9,576 | -0.3% |
| Oregon | $34 | $83 | 22 | 411 | -0.7% |
| Louisiana | $34 | $57 | 75 | 20,324 | -0.9% |
| District of Columbia | $34 | $37 | 3 | 118 | -1.2% |
| Wisconsin | $34 | $151 | 42 | 3,271 | -1.2% |
| Alabama | $34 | $40 | 29 | 2,289 | -1.9% |
| South Carolina | $29 | $60 | 9 | 44 | -14.8% |
⚠️ 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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