Detection test by immunoassay with direct visual observation for other organism
Medicare pricing data for 433 providers across 30 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 immunoassay with direct visual observation for other organism (HCPCS code 87899) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.68, but hospitals typically charge $62.37 — 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 $15.68, your out-of-pocket cost would be approximately $3.14. 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 $15.68 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $16 | $129 | 27 | 71 | +0.4% |
| Illinois | $16 | $66 | 6 | 158 | +0.4% |
| Indiana | $16 | $38 | 4 | 32 | +0.4% |
| Iowa | $16 | $58 | 3 | 55 | +0.4% |
| Maryland | $16 | $51 | 5 | 60 | +0.4% |
| Massachusetts | $16 | $43 | 6 | 368 | +0.4% |
| Mississippi | $16 | $38 | 1 | 82 | +0.4% |
| Missouri | $16 | $24 | 3 | 13 | +0.4% |
| New Hampshire | $16 | $37 | 42 | 93 | +0.4% |
| New Jersey | $16 | $116 | 5 | 97 | +0.4% |
| New York | $16 | $69 | 6 | 37 | +0.4% |
| North Carolina | $16 | $120 | 7 | 587 | +0.4% |
| North Dakota | $16 | $59 | 12 | 225 | +0.4% |
| Pennsylvania | $16 | $52 | 5 | 142 | +0.4% |
| Tennessee | $16 | $87 | 2 | 33 | +0.4% |
| Alabama | $16 | $112 | 3 | 91 | +0.4% |
| Minnesota | $16 | $146 | 45 | 384 | +0.3% |
| Virginia | $16 | $68 | 27 | 1,530 | +0.3% |
| Hawaii | $16 | $82 | 2 | 711 | +0.1% |
| Ohio | $16 | $33 | 13 | 272 | +0.1% |
| Texas | $16 | $44 | 62 | 998 | -0.1% |
| California | $16 | $52 | 17 | 3,394 | -0.1% |
| Oklahoma | $16 | $34 | 3 | 935 | -0.4% |
| South Dakota | $16 | $58 | 20 | 194 | -0.4% |
| Washington | $16 | $56 | 5 | 202 | -0.4% |
| Arizona | $16 | $49 | 8 | 736 | -0.4% |
| Florida | $16 | $116 | 10 | 350 | -0.5% |
| Kentucky | $16 | $33 | 38 | 149 | -0.6% |
| Oregon | $16 | $35 | 14 | 147 | -0.9% |
| Wisconsin | $15 | $88 | 5 | 17 | -5.5% |
⚠️ 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