Detection test by nucleic acid for multiple organisms, direct probe(s) technique
Medicare pricing data for 395 providers across 20 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 multiple organisms, direct probe(s) technique (HCPCS code 87800) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.65, but hospitals typically charge $172.73 — a 4.0x 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 $42.65, your out-of-pocket cost would be approximately $8.53. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $42.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Iowa | $43 | $180 | 21 | 37 | +0.4% |
| Massachusetts | $43 | $60 | 40 | 367 | +0.4% |
| Nebraska | $43 | $395 | 6 | 18 | +0.4% |
| Ohio | $43 | $104 | 3 | 21 | +0.4% |
| Oklahoma | $43 | $78 | 1 | 69 | +0.4% |
| Oregon | $43 | $89 | 9 | 15 | +0.4% |
| South Carolina | $43 | $200 | 2 | 26 | +0.4% |
| Wisconsin | $43 | $196 | 22 | 104 | +0.4% |
| Alaska | $43 | $295 | 7 | 26 | +0.4% |
| Arkansas | $43 | $112 | 6 | 66 | +0.4% |
| California | $43 | $55 | 7 | 539 | +0.4% |
| New York | $43 | $257 | 13 | 2,359 | +0.3% |
| Connecticut | $43 | $126 | 36 | 483 | +0.1% |
| Georgia | $43 | $138 | 6 | 246 | -0.1% |
| Pennsylvania | $43 | $164 | 1 | 998 | -0.3% |
| Texas | $42 | $106 | 173 | 669 | -0.4% |
| Kansas | $42 | $138 | 2 | 76 | -0.6% |
| Maryland | $42 | $175 | 2 | 143 | -0.8% |
| Washington | $42 | $123 | 12 | 65 | -0.8% |
| Mississippi | $42 | $99 | 3 | 22 | -2.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber