87899

Detection test by immunoassay with direct visual observation for other organism

Medicare pricing data for 433 providers across 30 states

🤖AI Overview

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

$3.14

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.

Average Allowed Cost
$15.68
Average Hospital Charge
$62.37
Markup Ratio
4.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$62.37
Medicare Allowed$15.68
Medicare Payment$15.68

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Georgia$16$1292771+0.4%
Illinois$16$666158+0.4%
Indiana$16$38432+0.4%
Iowa$16$58355+0.4%
Maryland$16$51560+0.4%
Massachusetts$16$436368+0.4%
Mississippi$16$38182+0.4%
Missouri$16$24313+0.4%
New Hampshire$16$374293+0.4%
New Jersey$16$116597+0.4%
New York$16$69637+0.4%
North Carolina$16$1207587+0.4%
North Dakota$16$5912225+0.4%
Pennsylvania$16$525142+0.4%
Tennessee$16$87233+0.4%
Alabama$16$112391+0.4%
Minnesota$16$14645384+0.3%
Virginia$16$68271,530+0.3%
Hawaii$16$822711+0.1%
Ohio$16$3313272+0.1%
Texas$16$4462998-0.1%
California$16$52173,394-0.1%
Oklahoma$16$343935-0.4%
South Dakota$16$5820194-0.4%
Washington$16$565202-0.4%
Arizona$16$498736-0.4%
Florida$16$11610350-0.5%
Kentucky$16$3338149-0.6%
Oregon$16$3514147-0.9%
Wisconsin$15$88517-5.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber