Average Medicaid Culture & Microbiology Tests Payments in Du Bois, PA: $6.10
Avg. Paid
$6.10
Range
$1.47 – $17.46
Total Claims
1,203
Providers
21
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 Du Bois, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristen Dawn Witherite
100 Hospital Ave |
$5.99 | 259 | 255 |
|
Mariah L. Shimmel
145 Hospital Ave |
$6.46 | 226 | 224 |
|
Desiree M. Webb
529 Sunflower Dr |
$6.66 | 138 | 136 |
|
Cierra Sechman
145 Hospital Ave |
$5.80 | 124 | 124 |
|
Jennifer Lynn Maxim
100 Hospital Ave |
$5.44 | 114 | 114 |
|
Sanjay Mohan Ramchandani
145 Hospital Ave |
$1.47 | 49 | 49 |
|
Jo Dee Mulhollan
621 S Main St |
$5.31 | 43 | 43 |
|
Brittany Noelle Lanich
621 S Main St |
$5.58 | 41 | 41 |
|
Megan Morrow-Burkett
871 Beaver Dr |
$9.64 | 33 | 25 |
|
Laura Edwards
621 S Main St |
$5.92 | 30 | 30 |
|
Kylie Allissa Mcclain
123 Hospital Ave |
$5.00 | 16 | 16 |
|
Nicholas Paul Cunningham
621 S Main St |
$5.34 | 15 | 15 |
|
Holly Marie Bianchino
100 Hospital Ave |
$5.72 | 14 | 14 |
|
Daniel F Leeper
621 S Main St |
$7.26 | 14 | 14 |
|
Ashley Nicole Bertram
123 Hospital Avenue |
$5.72 | 13 | 13 |
|
Mark Adam Theodore Molckovsky
33 Beaver Dr Ste 1 |
$5.20 | 13 | 13 |
|
Dulcie Ann Hanzely
621 S Main St |
$5.28 | 13 | 13 |
|
Dubois Regional Medical Center
100 Hospital Ave |
$17.46 | 12 | 12 |
|
Kristie Lynn Kline
123 Hospital Ave |
$7.59 | 12 | 12 |
|
Rebecca Ann Durian
100 Hospital Ave |
$4.72 | 12 | 12 |
|
Htar Su Hlaing
123 Hospital Avenue |
$11.40 | 12 | 12 |
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 Du Bois, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Du Bois, PA is $6.10 per claim, based on 1,203 claims from 21 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 Du Bois, PA?
There are 21 Medicaid providers offering Culture & Microbiology Tests related services in Du Bois, PA according to public payment data.
What is the price range for Culture & Microbiology Tests in Du Bois, PA?
Medicaid reimbursement for Culture & Microbiology Tests in Du Bois, PA ranges from $1.47 to $17.46 per claim, with an average of $6.10. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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