Detection test by nucleic acid for strep (streptococcus, group a), quantification
Medicare pricing data for 129 providers across 11 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 strep (streptococcus, group a), quantification (HCPCS code 87652) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.90, but hospitals typically charge $91.22 — 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 $40.90, your out-of-pocket cost would be approximately $8.18. 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 $40.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $41 | $42 | 1 | 388 | +0.0% |
| Illinois | $41 | $94 | 3 | 1,608 | +0.0% |
| Michigan | $41 | $111 | 7 | 59 | +0.0% |
| Mississippi | $41 | $104 | 3 | 484 | +0.0% |
| New Jersey | $41 | $153 | 2 | 36 | +0.0% |
| New Mexico | $41 | $84 | 4 | 35 | +0.0% |
| Texas | $41 | $81 | 32 | 37,774 | +0.0% |
| Louisiana | $41 | $101 | 2 | 676 | -0.0% |
| Tennessee | $41 | $104 | 15 | 1,474 | -0.0% |
| Maryland | $41 | $121 | 24 | 10,532 | -0.0% |
| Arkansas | $41 | $129 | 31 | 1,440 | -0.3% |
⚠️ 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