Average Medicaid Culture & Microbiology Tests Payments in Erie, PA: $6.33
Avg. Paid
$6.33
Range
$0.00 – $12.81
Total Claims
78,931
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 Erie, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Associated Clinical Laboratories
1526 Peach St |
$6.29 | 76,418 | 74,565 |
|
Laboratory Associates Of Erie Llc
100 Peach St |
$12.81 | 686 | 652 |
|
Shawn M Simko
232 W 25Th St |
$5.70 | 338 | 335 |
|
Jessica Erin Goldstein
232 W 25Th St |
$0.06 | 262 | 243 |
|
Leonardo Zingg
201 State Street |
$11.30 | 210 | 201 |
|
Melody L Milliron
232 W 25Th St |
$5.41 | 172 | 170 |
|
Peter L Depowski
232 W 25Th St |
$1.01 | 129 | 126 |
|
Trisha L Slevin
3530 Peach St |
$7.17 | 120 | 118 |
|
Jill Marie Rough
232 W 25Th St |
$3.97 | 111 | 111 |
|
Kenneth Lee Jones
201 State St |
$11.43 | 95 | 92 |
|
Brett R Forehand
232 W 25Th St |
$5.43 | 62 | 62 |
|
Caroline A Colleran
4950 Buffalo Rd |
$5.70 | 57 | 57 |
|
Daniel T Myers
232 W 25Th St |
$5.12 | 39 | 38 |
|
Eric J. Milie
2010 W 38Th St Lowr Level |
$5.83 | 30 | 29 |
|
Jason C Ball
232 W 25Th St |
$5.58 | 30 | 30 |
|
Andromeda Fair
3330 Peach St Ste 106 |
$5.41 | 29 | 27 |
|
Jeffrey A Defranc
201 State St |
$5.87 | 26 | 25 |
|
Brandon Joseph Kramer
2800 W 21St St Ste 20 |
$5.30 | 17 | 17 |
|
Patricia Elizabeth Smolter
232 W 25Th St |
$0.30 | 16 | 15 |
|
Katherine Hannah Lund
232 W 25Th St |
$5.09 | 16 | 16 |
|
Saint Vincent Health Center
232 W 25Th St |
$4.10 | 15 | 14 |
|
Bobbie Brotherson
2314 Sassafras St |
$0.00 | 14 | 14 |
|
Cecil Veloor Thomas
201 State St |
$0.00 | 14 | 14 |
|
Eda M Burhenn
1781 W 26Th St |
$4.54 | 13 | 13 |
|
Matthew T Mccarthy
232 W 25Th St |
$4.92 | 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 Erie, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Erie, PA is $6.33 per claim, based on 78,931 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 Erie, PA?
There are 25 Medicaid providers offering Culture & Microbiology Tests related services in Erie, PA according to public payment data.
What is the price range for Culture & Microbiology Tests in Erie, PA?
Medicaid reimbursement for Culture & Microbiology Tests in Erie, PA ranges from $0.00 to $12.81 per claim, with an average of $6.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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