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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. 87798
  4. Cost Analysis

How Much Does Detection test by nucleic acid for organism, amplified probe technique Cost on Medicare?

Cost analysis for CPT 87798 — Detection test by nucleic acid for organism, amplified probe technique

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Average Medicare Payment

N/A

Total Payments (Latest)

N/A

Services (Latest)

N/A

Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. HI averages $34.39 vs MO at $33.49.

StateAvg PaymentTotal PaymentsServicesProviders
HI$34.39$4.1K1182
SC$34.39$29.9K8695
RI$34.39$70.2K2.0K6
WY$34.39$63.5K1.8K4
UT$34.39$907.8K26.4K4
ID$34.39$9.4K2722
DC$34.39$48.2K1.4K1
NV$34.39$247.1K7.2K7
IN$34.39$6.2M181.7K8
LA$34.38$8.1M235.7K23
PA$34.38$40.8M1.2M37
AZ$34.38$5.5M160.9K10
MI$34.38$1.7M50.1K16
CO$34.38$6.1M176.7K54
VA$34.38$5.1M148.2K32
CA$34.38$37.2M1.1M110
OH$34.38$1.2M33.8K9
KS$34.37$811.3K23.6K14
GA$34.37$437.6K12.7K9
NC$34.37$228.6K6.7K6
NJ$34.36$11.4M330.9K40
WI$34.36$452.6K13.2K11
MD$34.36$10.7M312.2K63
TX$34.36$80.1M2.3M302
OK$34.35$7.5M219.7K40
MA$34.35$3.1M89.8K50
IL$34.35$11.9M346.1K69
TN$34.35$344.5K10.0K17
WA$34.33$627.6K18.3K20
NY$34.33$8.7M254.4K40
DE$34.33$1.1M33.0K19
AR$34.32$4.3M126.3K33
FL$34.31$22.9M668.8K105
NE$34.30$145.3K4.2K14
IA$34.28$115.6K3.4K11
CT$34.25$12.1K3543
NM$34.24$376.1K11.0K11
MS$34.22$7.5M220.2K52
OR$34.18$64.2K1.9K13
KY$34.17$21.1K6186
MN$34.12$306.5K9.0K7
ND$33.94$8.7K2572
ME$33.63$3.9K1152
AL$33.51$75.8K2.3K13
MO$33.49$2.0M58.8K14

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Silverpath, Inc.Clinical LaboratoryPA$23.6M684.9K$34.39
Yellowstone Labs, LlcClinical LaboratoryTX$14.4M419.8K$34.39
Cap Diagnostics LlcClinical LaboratoryFL$10.7M310.0K$34.37
Altru Diagnostics, IncClinical LaboratoryTX$6.4M187.2K$34.38
Patients Choice Laboratories Of Indiana, LlcClinical LaboratoryIN$6.0M175.3K$34.39
Genetic Technological Innovations, LlcClinical LaboratoryAZ$5.4M155.7K$34.39
Medarbor LlcClinical LaboratoryPA$5.3M153.3K$34.39
Texas Molecular Diagnostics LaboratoryClinical LaboratoryTX$4.3M125.8K$34.39
Healthtrackrx Indiana, IncClinical LaboratoryTX$4.1M119.8K$34.17
Global Diagnostic Lab IncClinical LaboratoryCA$3.9M114.3K$34.39
Tdm Laboratories Of Katy, LlcClinical LaboratoryTX$3.8M111.7K$34.39
Concord Life Sciences, LlcClinical LaboratoryTX$3.6M105.5K$34.35
Realtox Labs, LlcClinical LaboratoryMD$3.5M102.3K$34.39
Cormeum Lab Services LlcClinical LaboratoryLA$3.5M102.0K$34.39
Rocky Mountain Laboratories LlcClinical LaboratoryCO$3.2M94.2K$34.38
Star Medical Laboratory IncClinical LaboratoryCA$3.2M92.8K$34.39
Sma Medical, Inc.Clinical LaboratoryPA$3.2M91.9K$34.39
Gmi Laboratories LlcClinical LaboratoryCA$3.2M91.6K$34.39
Victoria Healthcare ResourcesClinical LaboratoryLA$3.0M87.7K$34.39
Cirrus Dx, Inc.Clinical LaboratoryMD$3.0M87.6K$34.39

🤔 Is Detection test by nucleic acid for organism, amplified probe technique Overpriced?

Based on the data, CPT 87798 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

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.