Average Medicaid Culture & Microbiology Tests Payments in Fall River, MA: $6.82
Avg. Paid
$6.82
Range
$3.79 – $9.96
Total Claims
43,498
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 Fall River, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southcoast Hospitals Group, Inc
363 Highland Ave |
$6.97 | 31,441 | 29,375 |
|
Steward St. Annes Hospital Corporation
795 Middle St |
$7.34 | 4,980 | 4,731 |
|
Edward Cyburt
851 Middle St |
$6.29 | 983 | 972 |
|
Amy Lynn Mauricio
851 Middle St |
$6.16 | 969 | 961 |
|
Stephen T Gagliardi
1565 N Main St |
$3.79 | 851 | 823 |
|
Jessica Denise Rome
829 S Main St |
$6.02 | 798 | 791 |
|
Walter J Rok
851 Middle St |
$6.23 | 732 | 726 |
|
Staci M Resnick
851 Middle St |
$6.13 | 625 | 619 |
|
Citizens For Citizens, Inc.
300 Hanover St Ste 2E |
$4.31 | 496 | 483 |
|
Robert J Koterbay
851 Middle St |
$6.76 | 414 | 406 |
|
Katherine Costa
851 Middle St Ste 1100 |
$5.87 | 405 | 403 |
|
Margaret Pyle
851 Middle St Ste 1100 |
$5.85 | 362 | 359 |
|
Jean Lee-Ann Leimert
851 Middle St |
$6.26 | 342 | 340 |
|
Michelle L Hughes
300 Hanover St |
$4.18 | 59 | 58 |
|
David Edward Mcginnis
363 Highland Ave |
$9.96 | 41 | 40 |
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 Fall River, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Fall River, MA is $6.82 per claim, based on 43,498 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 Fall River, MA?
There are 15 Medicaid providers offering Culture & Microbiology Tests related services in Fall River, MA according to public payment data.
What is the price range for Culture & Microbiology Tests in Fall River, MA?
Medicaid reimbursement for Culture & Microbiology Tests in Fall River, MA ranges from $3.79 to $9.96 per claim, with an average of $6.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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