Average Medicaid Culture & Microbiology Tests Payments in Madison, AL: $7.29
Avg. Paid
$7.29
Range
$4.66 – $30.32
Total Claims
7,024
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 Madison, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cornerstone Pediatrics, P.C
701 Will Halsey Way |
$6.37 | 1,867 | 1,783 |
|
Roger Dale Stanmore
7583 Wall Triana Hwy |
$9.30 | 779 | 722 |
|
Jacqueline Y Sylvester
235 Portal Lane Suite A |
$4.92 | 657 | 482 |
|
William Craig Van Cleave
701 Will Halsey Way |
$6.84 | 617 | 583 |
|
Gregory S Borucki
124 Bluff Spring Dr |
$7.85 | 507 | 444 |
|
Pediatric Associates Of Madison,Pc
21 Hughes Road |
$6.80 | 460 | 441 |
|
Stacey Davis Tatum
701 Will Halsey Way |
$6.92 | 446 | 428 |
|
Jacqueline Crespo-Gales
101 Westover Cir |
$12.43 | 402 | 388 |
|
Kevin Scott Denny
701 Will Halsey Way |
$6.50 | 391 | 371 |
|
Kimberly W Miller
701 Will Halsey Way |
$7.00 | 284 | 272 |
|
Amy Manners
701 Will Halsey Way |
$6.40 | 190 | 181 |
|
Bethel Renfrow
1041 Balch Rd Ste 250 |
$8.14 | 138 | 131 |
|
Jeffrey D Brassart
701 Will Halsey Way |
$6.46 | 128 | 122 |
|
Steven E Johnson
701 Will Halsey Way |
$7.22 | 44 | 43 |
|
Ha Bich Chu
8121 Madison Blvd Ste 101A |
$11.63 | 25 | 25 |
|
William Ray Stroud
3825 Sullivan Street |
$30.32 | 18 | 17 |
|
Alice T Mcduffee
701 Will Halsey Way |
$4.66 | 16 | 13 |
|
Herbert C Frith
8375 Highway 72 W |
$12.11 | 16 | 16 |
|
Whitney E West
550 Sun Temple Dr |
$9.39 | 14 | 14 |
|
Charles Lee Mccain
1041 Balch Rd Ste 250 |
$8.73 | 13 | 12 |
|
Janet Mc Reynolds Lawley
701 Will Halsey Way |
$6.00 | 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 Madison, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Madison, AL is $7.29 per claim, based on 7,024 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 Madison, AL?
There are 21 Medicaid providers offering Culture & Microbiology Tests related services in Madison, AL according to public payment data.
What is the price range for Culture & Microbiology Tests in Madison, AL?
Medicaid reimbursement for Culture & Microbiology Tests in Madison, AL ranges from $4.66 to $30.32 per claim, with an average of $7.29. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Culture & Microbiology Tests in Other Cities
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