Average Medicaid Culture & Microbiology Tests Payments in Edinburg, TX: $6.49
Avg. Paid
$6.49
Range
$0.00 – $15.44
Total Claims
43,625
Providers
25
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Doctors Hospital At Renaissance, Ltd
5501 S Mccoll Rd |
$5.13 | 26,101 | 23,207 |
|
Mcallen Hospitals L P
1102 W Trenton Rd |
$7.88 | 12,753 | 11,444 |
|
Rogelio Eduardo Rojas
5111 S Mccoll Rd |
$11.39 | 1,675 | 1,613 |
|
German Roman Esquivel-Vanegas
1102 W Trenton Rd |
$12.46 | 527 | 523 |
|
Padraic Chisholm
910 S Closner Blvd |
$8.07 | 442 | 438 |
|
Rodolfo M. Lozano
2821 Michael Angelo |
$8.34 | 367 | 363 |
|
Westly Arrow Keating
5007 S Mccoll Rd |
$12.84 | 328 | 310 |
|
Luis A. Ramirez
2821 Michael Angelo Ste 100 |
$8.39 | 240 | 238 |
|
Rosie Cadiz Belandres-Hicban
3145 W Alberta Rd |
$0.00 | 209 | 200 |
|
Noumeda Messeroux
4702 S Mccoll Rd |
$13.16 | 172 | 169 |
|
Access Esperanza Clinics Inc.
302 S Veterans Blvd. |
$4.70 | 157 | 155 |
|
Marissa Gomez-Martinez
1601 E Sprague St |
$11.09 | 119 | 116 |
|
Karla Trevino-Ramirez
4745 S Jackson Rd |
$15.44 | 118 | 116 |
|
Melissa Ledesma
2821 Michaelangelo Dr Ste 102 |
$12.01 | 105 | 100 |
|
Nicholas Pereira
1102 W Trenton Rd |
$6.14 | 89 | 70 |
|
Desmond Okey Ikondu
2502 W Trenton Rd |
$14.69 | 44 | 42 |
|
Eduardo Jose Herrera Lirio
4700 S Mccoll Rd Ste 107 |
$11.17 | 41 | 39 |
|
Maxwell Wesley Falkoff
4590 S Professional Dr |
$10.22 | 30 | 30 |
|
Argelia Clementina Douglas
5007 S Mccoll Rd |
$6.32 | 25 | 25 |
|
Carlos I Moreno
3516 W Alberta Rd |
$6.63 | 17 | 17 |
|
Leslye Ayers-Santos
1102 W Trenton Rd |
$5.37 | 14 | 14 |
|
Ivelisse Santiago-Barouhas
1102 W Trenton Rd |
$9.54 | 14 | 12 |
|
Amy L Ramirez
2821 Michaelangelo Dr Ste 202 |
$10.56 | 13 | 13 |
|
Anita Monique Madison
2821 Michaelangelo Dr |
$3.62 | 13 | 12 |
|
Rebecca M Guerra
5115 S Mccoll Rd |
$9.80 | 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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Edinburg, TX is $6.49 per claim, based on 43,625 claims from 25 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 Edinburg, TX?
There are 25 Medicaid providers offering Culture & Microbiology Tests related services in Edinburg, TX according to public payment data.
What is the price range for Culture & Microbiology Tests in Edinburg, TX?
Medicaid reimbursement for Culture & Microbiology Tests in Edinburg, TX ranges from $0.00 to $15.44 per claim, with an average of $6.49. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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