Cost analysis for CPT 87640 — Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
Average Medicare Payment
$34.21
2023 data
Total Payments (2023)
$21.0M
Services (2023)
611.4K
Price Change (2014–2023)
-21.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $43.45 | $885.7K | 19.1K | — |
| 2015 | $44.86 | $588.0K | 12.8K | +3.2% |
| 2016 | $44.31 | $782.8K | 16.9K | -1.2% |
| 2017 | $44.09 | $1.4M | 29.5K | -0.5% |
| 2018 | $42.04 | $3.7M | 88.4K | -4.6% |
| 2019 | $37.97 | $7.7M | 201.1K | -9.7% |
| 2020 | $34.70 | $17.8M | 509.7K | -8.6% |
| 2021 | $34.92 | $17.8M | 509.0K | +0.6% |
| 2022 | $34.59 | $17.5M | 505.0K | -0.9% |
| 2023 | $34.21 | $21.0M | 611.4K | -1.1% |
The most expensive state pays 1.0x more than the cheapest for this procedure. MI averages $34.40 vs AL at $33.71.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MI | $34.40 | $115.4K | 3.4K | 12 |
| NC | $34.39 | $215.4K | 6.3K | 4 |
| UT | $34.39 | $69.6K | 2.0K | 2 |
| KY | $34.39 | $34.0K | 988 | 3 |
| MN | $34.39 | $19.3K | 562 | 1 |
| NE | $34.39 | $8.5K | 246 | 7 |
| RI | $34.39 | $4.3K | 125 | 5 |
| DC | $34.39 | $3.9K | 114 | 1 |
| IN | $34.38 | $477.0K | 13.9K | 6 |
| CA | $34.38 | $2.4M | 69.5K | 67 |
| MA | $34.38 | $207.1K | 6.0K | 45 |
| PA | $34.38 | $1.8M | 51.0K | 29 |
| CO | $34.38 | $248.0K | 7.2K | 49 |
| VA | $34.37 | $326.8K | 9.5K | 26 |
| MD | $34.37 | $793.6K | 23.1K | 50 |
| TX | $34.36 | $6.5M | 190.5K | 253 |
| OK | $34.35 | $789.5K | 23.0K | 37 |
| AZ | $34.35 | $62.4K | 1.8K | 6 |
| IL | $34.35 | $797.5K | 23.2K | 54 |
| GA | $34.35 | $22.2K | 646 | 6 |
| NJ | $34.34 | $591.7K | 17.2K | 32 |
| NM | $34.34 | $21.7K | 633 | 8 |
| KS | $34.33 | $68.6K | 2.0K | 7 |
| FL | $34.33 | $2.2M | 64.7K | 72 |
| TN | $34.32 | $90.8K | 2.6K | 18 |
| NY | $34.32 | $587.5K | 17.1K | 21 |
| WA | $34.32 | $64.5K | 1.9K | 14 |
| DE | $34.31 | $94.3K | 2.7K | 17 |
| MS | $34.30 | $541.5K | 15.8K | 52 |
| OH | $34.27 | $96.3K | 2.8K | 5 |
| MO | $34.27 | $110.9K | 3.2K | 10 |
| AR | $34.26 | $725.9K | 21.2K | 34 |
| IA | $34.22 | $9.8K | 285 | 9 |
| OR | $34.01 | $10.9K | 320 | 5 |
| LA | $34.01 | $685.2K | 20.1K | 20 |
| WI | $33.92 | $108.2K | 3.2K | 11 |
| AL | $33.71 | $76.4K | 2.3K | 11 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Healthtrackrx Indiana, Inc | Clinical Laboratory | TX | $1.6M | 45.3K | $34.33 |
| Cap Diagnostics Llc | Clinical Laboratory | FL | $819.3K | 23.8K | $34.37 |
| Yellowstone Labs, Llc | Clinical Laboratory | TX | $747.4K | 21.7K | $34.39 |
| Medarbor Llc | Clinical Laboratory | PA | $509.2K | 14.8K | $34.39 |
| Patients Choice Laboratories Of Indiana, Llc | Clinical Laboratory | IN | $463.6K | 13.5K | $34.39 |
| Advanced Pathology Solutions, Pllc | Clinical Laboratory | AR | $457.8K | 13.3K | $34.30 |
| Texas Molecular Diagnostics Laboratory | Clinical Laboratory | TX | $377.7K | 11.0K | $34.39 |
| Concord Life Sciences, Llc | Clinical Laboratory | TX | $335.0K | 9.8K | $34.35 |
| Silverpath, Inc. | Clinical Laboratory | PA | $322.7K | 9.4K | $34.39 |
| Laboratory Of Florida Llc | Clinical Laboratory | FL | $310.6K | 9.0K | $34.39 |
| Victoria Healthcare Resources | Clinical Laboratory | LA | $295.8K | 8.6K | $34.39 |
| Global Diagnostic Lab Inc | Clinical Laboratory | CA | $295.6K | 8.6K | $34.39 |
| Cormeum Lab Services Llc | Clinical Laboratory | LA | $275.0K | 8.0K | $34.39 |
| Realtox Labs, Llc | Clinical Laboratory | MD | $271.9K | 7.9K | $34.39 |
| Sma Medical, Inc. | Clinical Laboratory | PA | $256.1K | 7.4K | $34.39 |
| American Premier Labs | Clinical Laboratory | TX | $254.4K | 7.4K | $34.39 |
| Star Medical Laboratory Inc | Clinical Laboratory | CA | $239.2K | 7.0K | $34.39 |
| Gmi Laboratories Llc | Clinical Laboratory | CA | $233.6K | 6.8K | $34.39 |
| Cirrus Dx, Inc. | Clinical Laboratory | MD | $232.3K | 6.8K | $34.39 |
| Freedom Pathology Partners Llc | Clinical Laboratory | PA | $226.4K | 6.6K | $34.36 |
Based on the data, CPT 87640 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 21.3% 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.