Average Medicaid Culture & Microbiology Tests Payments in Allentown, PA: $6.53
Avg. Paid
$6.53
Range
$0.00 – $35.58
Total Claims
72,767
Providers
20
Typical Payment Range
Typical Medicaid Culture & Microbiology Tests payments fall between $3.29 and $8.84 per claim (median: $5.68). The top 10% of payments exceed $14.70.
Based on per-provider averages across all Medicaid claims in this category.
Laboratory tests that grow and identify bacteria, fungi, and other microorganisms from specimens to diagnose infections and guide antibiotic treatment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Culture & Microbiology Tests in Allentown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Health Network Laboratories, Llc
794 Roble Rd |
$6.44 | 60,199 | 57,531 |
|
Robert S Dolansky
501 Cetronia Rd |
$6.67 | 8,285 | 8,128 |
|
Ernesto Rodriguez-Granados
1611 Pond Rd |
$8.11 | 2,149 | 1,114 |
|
Daniel Schwartzman
29 N 9Th St |
$7.10 | 908 | 891 |
|
Victor Martin Otero
501 Cetronia Road |
$6.98 | 370 | 367 |
|
Cassandra Marie Romano
1401 N Cedar Crest Blvd Ste 200 |
$6.45 | 288 | 207 |
|
Lisa Michelle Dapuzzo-Argiriou
Lehigh Valley Hospital, 17Th & Chew Streets |
$6.94 | 171 | 95 |
|
David J. Hanes
322 S 17Th St |
$6.99 | 134 | 131 |
|
Scott L Zager
421 Chew St |
$0.00 | 44 | 44 |
|
Atira Rahman
450 W Chew St |
$6.97 | 39 | 39 |
|
Amit Sareen
1200 S Cedar Crest Blvd |
$1.69 | 28 | 28 |
|
Daniel Spollen
375 Auburn St Apt 208 |
$0.00 | 28 | 28 |
|
Theresa Mcclain
1611 Pond Rd Ste 300 |
$35.58 | 25 | 24 |
|
Talia Shalit Katz
501 Cetronia Rd |
$7.42 | 16 | 16 |
|
Janet Lorraine Mcgee
3178 W Tilghman St |
$0.00 | 16 | 16 |
|
Apurva Ravindra Jain
1611 Pond Rd Ste 400 |
$10.70 | 14 | 13 |
|
Samone Nore
17Th And Chew Street |
$7.69 | 14 | 13 |
|
Andrea Ardite
322 S 17Th St |
$0.00 | 13 | 13 |
|
Jack Basile
1200 S Cedar Crest Blvd |
$5.31 | 13 | 13 |
|
Emily Barbee
1200 S Cedar Crest Blvd |
$0.00 | 13 | 13 |
What to Expect: Culture & Microbiology Tests
A specimen is collected (swab, blood, urine, etc.) and sent to the lab where it's placed in a growth medium. Results for rapid tests (like strep) are available in minutes. Standard cultures take 24-72 hours. Sensitivity testing (determining which antibiotics will work) takes an additional day. Your doctor may start treatment before results are available.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 87081 | Bacterial culture screen | $6.09 | 17,067,723 | 13,148 |
| 87070 | Bacterial culture any source | $7.92 | 16,974,753 | 10,129 |
| 87186 | Susceptibility MIC per agent | $4.81 | 16,618,129 | 4,454 |
| 87077 | Bacterial culture aerobic ID | $5.04 | 14,909,874 | 4,673 |
| 87205 | Gram stain smear primary | $2.40 | 4,994,833 | 2,839 |
| 87210 | Wet mount infectious agent | $5.11 | 4,712,262 | 6,976 |
| 87147 | Culture typing immunologic | $3.18 | 2,451,709 | 1,203 |
| 87150 | Culture typing nucleic pulse | $30.04 | 1,606,021 | 729 |
| 87075 | Bacterial culture anaerobic ID | $5.59 | 1,503,203 | 1,156 |
| 87184 | Susceptibility disk method | $4.38 | 1,443,783 | 653 |
| 87177 | Ova/parasite smear | $4.80 | 1,206,576 | 603 |
| 87209 | Smear complex stain ova/para | $9.06 | 1,133,525 | 393 |
| 87102 | Fungal culture other | $4.97 | 525,252 | 550 |
| 87206 | Smear fluorescent/acid fast | $2.77 | 350,856 | 384 |
| 87101 | Fungal culture skin | $4.04 | 296,460 | 164 |
| 87110 | Chlamydia culture | $8.71 | 248,967 | 475 |
| 87116 | Mycobacterial culture | $4.86 | 198,775 | 320 |
| 87076 | Bacterial culture anaerobic def | $6.97 | 168,632 | 188 |
| 87071 | Bacterial culture quantitative | $5.89 | 121,148 | 208 |
| 87106 | Fungal culture definitive ID | $4.99 | 116,838 | 169 |
| 87181 | Susceptibility per organism | $3.38 | 94,626 | 147 |
| 87185 | Susceptibility enzyme detect | $2.79 | 89,528 | 151 |
| 87149 | Culture typing nucleic acid | $12.60 | 53,774 | 97 |
| 87140 | Culture typing fluorescent | $3.35 | 43,147 | 59 |
| 87158 | Culture typing other methods | $4.86 | 37,576 | 21 |
| 87207 | Smear special stain | $5.06 | 25,167 | 89 |
| 87176 | Homogenization tissue culture | $2.19 | 19,563 | 81 |
| 87073 | Bacterial culture anaerobic | $2.91 | 15,495 | 39 |
| 87143 | Culture typing gas chromat | $5.93 | 12,219 | 5 |
| 87169 | Macroscopic exam parasite | $7.88 | 8,524 | 5 |
| 87168 | Macroscopic exam arthropod | $1.59 | 7,301 | 17 |
| 87187 | Susceptibility microtiter MIC | $20.40 | 4,651 | 7 |
| 87172 | Pinworm exam | $2.20 | 4,534 | 12 |
| 87188 | Susceptibility MIC macrobroth | $1.23 | 3,056 | 3 |
| 87190 | Susceptibility mycobacterial | $1.92 | 775 | 4 |
| 87164 | Dark field examination | $10.31 | 707 | 3 |
| 87153 | Culture typing additional | $47.98 | 459 | 3 |
| 87152 | Culture typing identification | — | — | — |
| 87166 | Dark field examination | — | — | — |
| 87197 | Susceptibility serum bactericid | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Culture & Microbiology Tests cost in Allentown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Allentown, PA is $6.53 per claim, based on 72,767 claims from 20 providers. Typical payments fall between $3.29 and $8.84. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Culture & Microbiology Tests in Allentown, PA?
There are 20 Medicaid providers offering Culture & Microbiology Tests related services in Allentown, PA according to public payment data.
What is the price range for Culture & Microbiology Tests in Allentown, PA?
Medicaid reimbursement for Culture & Microbiology Tests in Allentown, PA ranges from $0.00 to $35.58 per claim, with an average of $6.53. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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