Infectious agent drug susceptibility analysis
Medicare pricing data for 193 providers across 26 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
Infectious agent drug susceptibility analysis (HCPCS code 87900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $126.36, but hospitals typically charge $244.68 — a 1.9x 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 $126.36, your out-of-pocket cost would be approximately $25.27. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $126.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Georgia | $128 | $328 | 2 | 154 | +1.1% |
| Kansas | $128 | $303 | 2 | 41 | +1.1% |
| Louisiana | $128 | $310 | 2 | 28 | +1.1% |
| Maryland | $128 | $203 | 4 | 6,999 | +1.1% |
| Massachusetts | $128 | $310 | 3 | 79 | +1.1% |
| Mississippi | $128 | $326 | 3 | 490 | +1.1% |
| Nevada | $128 | $303 | 1 | 24 | +1.1% |
| Ohio | $128 | $268 | 4 | 83 | +1.1% |
| Pennsylvania | $128 | $340 | 5 | 20 | +1.1% |
| West Virginia | $128 | $391 | 1 | 113 | +1.1% |
| Wisconsin | $128 | $298 | 2 | 12 | +1.1% |
| Arizona | $128 | $249 | 2 | 53 | +1.1% |
| Colorado | $128 | $287 | 2 | 15 | +1.1% |
| Florida | $128 | $305 | 5 | 386 | +1.1% |
| New York | $128 | $523 | 4 | 57 | +1.1% |
| Illinois | $128 | $388 | 3 | 1,438 | +1.0% |
| Washington | $128 | $212 | 5 | 371 | +1.0% |
| California | $128 | $284 | 13 | 1,133 | +0.9% |
| Texas | $127 | $226 | 9 | 5,253 | +0.9% |
| New Jersey | $127 | $270 | 4 | 368 | +0.8% |
| North Carolina | $127 | $267 | 5 | 529 | +0.8% |
| Tennessee | $127 | $325 | 21 | 1,481 | +0.5% |
| Arkansas | $127 | $325 | 31 | 1,455 | +0.5% |
| Alabama | $124 | $172 | 32 | 379 | -1.7% |
| Oklahoma | $112 | $117 | 10 | 1,585 | -11.1% |
| Virginia | $83 | $151 | 4 | 24 | -33.9% |
⚠️ 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