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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 87640
  4. Cost Analysis

How Much Does Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique Cost on Medicare?

Cost analysis for CPT 87640 — Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique

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Average Medicare Payment

$34.21

2023 data

Total Payments (2023)

$21.0M

Services (2023)

611.4K

Price Change (2014–2023)

-21.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$43.45$885.7K19.1K—
2015$44.86$588.0K12.8K+3.2%
2016$44.31$782.8K16.9K-1.2%
2017$44.09$1.4M29.5K-0.5%
2018$42.04$3.7M88.4K-4.6%
2019$37.97$7.7M201.1K-9.7%
2020$34.70$17.8M509.7K-8.6%
2021$34.92$17.8M509.0K+0.6%
2022$34.59$17.5M505.0K-0.9%
2023$34.21$21.0M611.4K-1.1%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. MI averages $34.40 vs AL at $33.71.

StateAvg PaymentTotal PaymentsServicesProviders
MI$34.40$115.4K3.4K12
NC$34.39$215.4K6.3K4
UT$34.39$69.6K2.0K2
KY$34.39$34.0K9883
MN$34.39$19.3K5621
NE$34.39$8.5K2467
RI$34.39$4.3K1255
DC$34.39$3.9K1141
IN$34.38$477.0K13.9K6
CA$34.38$2.4M69.5K67
MA$34.38$207.1K6.0K45
PA$34.38$1.8M51.0K29
CO$34.38$248.0K7.2K49
VA$34.37$326.8K9.5K26
MD$34.37$793.6K23.1K50
TX$34.36$6.5M190.5K253
OK$34.35$789.5K23.0K37
AZ$34.35$62.4K1.8K6
IL$34.35$797.5K23.2K54
GA$34.35$22.2K6466
NJ$34.34$591.7K17.2K32
NM$34.34$21.7K6338
KS$34.33$68.6K2.0K7
FL$34.33$2.2M64.7K72
TN$34.32$90.8K2.6K18
NY$34.32$587.5K17.1K21
WA$34.32$64.5K1.9K14
DE$34.31$94.3K2.7K17
MS$34.30$541.5K15.8K52
OH$34.27$96.3K2.8K5
MO$34.27$110.9K3.2K10
AR$34.26$725.9K21.2K34
IA$34.22$9.8K2859
OR$34.01$10.9K3205
LA$34.01$685.2K20.1K20
WI$33.92$108.2K3.2K11
AL$33.71$76.4K2.3K11

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Healthtrackrx Indiana, IncClinical LaboratoryTX$1.6M45.3K$34.33
Cap Diagnostics LlcClinical LaboratoryFL$819.3K23.8K$34.37
Yellowstone Labs, LlcClinical LaboratoryTX$747.4K21.7K$34.39
Medarbor LlcClinical LaboratoryPA$509.2K14.8K$34.39
Patients Choice Laboratories Of Indiana, LlcClinical LaboratoryIN$463.6K13.5K$34.39
Advanced Pathology Solutions, PllcClinical LaboratoryAR$457.8K13.3K$34.30
Texas Molecular Diagnostics LaboratoryClinical LaboratoryTX$377.7K11.0K$34.39
Concord Life Sciences, LlcClinical LaboratoryTX$335.0K9.8K$34.35
Silverpath, Inc.Clinical LaboratoryPA$322.7K9.4K$34.39
Laboratory Of Florida LlcClinical LaboratoryFL$310.6K9.0K$34.39
Victoria Healthcare ResourcesClinical LaboratoryLA$295.8K8.6K$34.39
Global Diagnostic Lab IncClinical LaboratoryCA$295.6K8.6K$34.39
Cormeum Lab Services LlcClinical LaboratoryLA$275.0K8.0K$34.39
Realtox Labs, LlcClinical LaboratoryMD$271.9K7.9K$34.39
Sma Medical, Inc.Clinical LaboratoryPA$256.1K7.4K$34.39
American Premier LabsClinical LaboratoryTX$254.4K7.4K$34.39
Star Medical Laboratory IncClinical LaboratoryCA$239.2K7.0K$34.39
Gmi Laboratories LlcClinical LaboratoryCA$233.6K6.8K$34.39
Cirrus Dx, Inc.Clinical LaboratoryMD$232.3K6.8K$34.39
Freedom Pathology Partners LlcClinical LaboratoryPA$226.4K6.6K$34.36

🤔 Is Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.