Cost analysis for CPT 87150 — Identification of organisms by genetic analysis, amplified probe technique
Average Medicare Payment
$34.13
2023 data
Total Payments (2023)
$52.7M
Services (2023)
1.5M
Price Change (2014–2023)
-23.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $44.45 | $3.2M | 70.3K | — |
| 2015 | $43.38 | $4.7M | 103.3K | -2.4% |
| 2016 | $42.50 | $10.2M | 223.1K | -2.0% |
| 2017 | $41.55 | $2.2M | 48.9K | -2.2% |
| 2018 | $40.87 | $616.9K | 15.4K | -1.6% |
| 2019 | $37.58 | $14.1M | 371.2K | -8.0% |
| 2020 | $34.69 | $38.7M | 1.1M | -7.7% |
| 2021 | $34.92 | $41.6M | 1.2M | +0.7% |
| 2022 | $34.48 | $40.5M | 1.2M | -1.3% |
| 2023 | $34.13 | $52.7M | 1.5M | -1.0% |
The most expensive state pays 1.0x more than the cheapest for this procedure. TN averages $34.39 vs NJ at $33.54.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| TN | $34.39 | $14.6K | 425 | 4 |
| MN | $34.39 | $7.2K | 210 | 2 |
| MO | $34.39 | $5.0K | 144 | 1 |
| OH | $34.39 | $212.0K | 6.2K | 7 |
| KY | $34.39 | $51.3K | 1.5K | 3 |
| AZ | $34.39 | $4.7M | 137.5K | 3 |
| MD | $34.39 | $180.3K | 5.2K | 1 |
| NM | $34.39 | $35.9K | 1.0K | 1 |
| OK | $34.39 | $2.7M | 78.2K | 4 |
| IA | $34.39 | $9.3K | 269 | 1 |
| CT | $34.39 | $3.7K | 107 | 1 |
| CO | $34.39 | $25.0K | 727 | 2 |
| MS | $34.39 | $497.3K | 14.5K | 1 |
| LA | $34.39 | $129.5K | 3.8K | 3 |
| WA | $34.39 | $275.2K | 8.0K | 3 |
| CA | $34.39 | $6.2M | 181.2K | 28 |
| IN | $34.39 | $4.8M | 139.6K | 2 |
| VA | $34.38 | $2.0M | 59.1K | 5 |
| IL | $34.38 | $1.3M | 36.9K | 7 |
| FL | $34.38 | $6.8M | 196.5K | 39 |
| PA | $34.37 | $5.1M | 149.4K | 5 |
| TX | $34.33 | $13.3M | 388.5K | 31 |
| NC | $34.33 | $206.0K | 6.0K | 5 |
| ID | $34.26 | $74.8K | 2.2K | 7 |
| AL | $34.25 | $142.7K | 4.2K | 3 |
| NY | $33.82 | $1.8M | 52.8K | 6 |
| NJ | $33.54 | $2.1M | 62.7K | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Patients Choice Laboratories Of Indiana, Llc | Clinical Laboratory | IN | $4.8M | 139.3K | $34.39 |
| Genetic Technological Innovations, Llc | Clinical Laboratory | AZ | $4.7M | 137.4K | $34.39 |
| Yellowstone Labs, Llc | Clinical Laboratory | TX | $4.2M | 121.1K | $34.39 |
| Laboratory Of Florida Llc | Clinical Laboratory | FL | $3.5M | 102.7K | $34.39 |
| Altru Diagnostics, Inc | Clinical Laboratory | TX | $3.2M | 91.7K | $34.38 |
| Freedom Pathology Partners Llc | Clinical Laboratory | PA | $2.4M | 68.6K | $34.35 |
| Sma Medical, Inc. | Clinical Laboratory | PA | $2.3M | 65.6K | $34.39 |
| Wellness Health Group, Llc | Clinical Laboratory | OK | $1.9M | 56.0K | $34.39 |
| Gmi Laboratories Llc | Clinical Laboratory | CA | $1.5M | 45.0K | $34.39 |
| Star Medical Laboratory Inc | Clinical Laboratory | CA | $1.4M | 41.4K | $34.39 |
| Ann Anderson | Pathology | NY | $1.4M | 40.2K | $34.36 |
| Tdm Laboratories Of Katy, Llc | Clinical Laboratory | TX | $1.3M | 36.9K | $34.39 |
| Samir Shirodkar | Urology | TX | $1.2M | 35.8K | $34.11 |
| Rca Laboratory Services, Llc | Clinical Laboratory | VA | $1.2M | 35.2K | $34.39 |
| Ajay Kwatra | Urology | TX | $1.0M | 30.6K | $34.09 |
| Hannan Lab Inc | Clinical Laboratory | IL | $1.0M | 29.3K | $34.39 |
| Microgen Health, Inc | Clinical Laboratory | VA | $797.5K | 23.2K | $34.37 |
| Rnj Services, Inc | Clinical Laboratory | NJ | $770.4K | 22.4K | $34.39 |
| Alpha Medical Laboratory Llc | Clinical Laboratory | OK | $706.5K | 20.5K | $34.39 |
| Reliance Medlabs, Llc | Clinical Laboratory | TX | $666.0K | 19.4K | $34.39 |
Based on the data, CPT 87150 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 23.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.