Average Medicaid Culture & Microbiology Tests Payments in Butler, PA: $5.70
Avg. Paid
$5.70
Range
$5.29 – $7.07
Total Claims
2,817
Providers
15
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 Butler, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rainee D Hawkins
1 Hospital Way |
$5.51 | 721 | 718 |
|
Carolyn Gregorio Yap
250B Butler Cmns |
$5.65 | 524 | 522 |
|
Paula Schmidt
103 Technology Dr |
$5.42 | 461 | 457 |
|
Butler Healthcare Providers
1 Hospital Way |
$7.07 | 273 | 258 |
|
Katelyn R Soldner
389 New Castle Rd |
$5.53 | 201 | 199 |
|
Katherine Elizabeth Meso
250B Butler Cmns |
$5.29 | 164 | 163 |
|
Ashley Washington
250 Butler Cmns |
$5.57 | 123 | 123 |
|
Gregory Pletz
250B Butler Cmns |
$5.60 | 93 | 92 |
|
Mary E Defelice
1 Hospital Way |
$6.01 | 73 | 73 |
|
Andrew Howard Lee
250 B Butler Commons |
$5.39 | 53 | 53 |
|
Theresa Michelle Ramella
104 Technology Dr Ste 202 |
$6.41 | 46 | 45 |
|
Nichole Tiche
127 Oneida Valley Rd Ste 202 |
$5.35 | 31 | 30 |
|
James Minshull
911 E Brady St |
$5.84 | 27 | 27 |
|
Tricia Leight
1 Hospital Way |
$5.72 | 14 | 12 |
|
Elaine C Dischman
256 New Castle Rd |
$5.89 | 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 Butler, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Butler, PA is $5.70 per claim, based on 2,817 claims from 15 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 Butler, PA?
There are 15 Medicaid providers offering Culture & Microbiology Tests related services in Butler, PA according to public payment data.
What is the price range for Culture & Microbiology Tests in Butler, PA?
Medicaid reimbursement for Culture & Microbiology Tests in Butler, PA ranges from $5.29 to $7.07 per claim, with an average of $5.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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