Average Medicaid Culture & Microbiology Tests Payments in Madison, OH: $3.27
Avg. Paid
$3.27
Range
$0.89 – $14.53
Total Claims
372
Providers
4
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, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristyn Emily Heagerty
2999 Mcmackin Rd |
$2.36 | 204 | 195 |
|
Fathallah Hayek
6270 N Ridge Rd |
$0.89 | 124 | 119 |
|
Bridget Colleen Combs
6270 N. Ridge Road |
$14.53 | 27 | 26 |
|
Matthew S Jennings
6270 North Ridge Road |
$13.51 | 17 | 17 |
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, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Madison, OH is $3.27 per claim, based on 372 claims from 4 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, OH?
There are 4 Medicaid providers offering Culture & Microbiology Tests related services in Madison, OH according to public payment data.
What is the price range for Culture & Microbiology Tests in Madison, OH?
Medicaid reimbursement for Culture & Microbiology Tests in Madison, OH ranges from $0.89 to $14.53 per claim, with an average of $3.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Culture & Microbiology Tests in Other Cities
Burlington, NC
Avg $5.81
3,404,924 claims · 20 providers
Raritan, NJ
Avg $3.38
2,553,684 claims · 2 providers
Brooklyn, NY
Avg $4.73
2,317,990 claims · 269 providers
Phoenix, AZ
Avg $2.31
1,924,396 claims · 57 providers
West Hills, CA
Avg $2.89
1,919,164 claims · 10 providers
Clifton, NJ
Avg $4.40
1,860,300 claims · 14 providers
Dublin, OH
Avg $6.49
1,705,918 claims · 8 providers
Tampa, FL
Avg $2.32
1,690,648 claims · 68 providers
Other Procedures in Madison, OH
Home Health Visit
Avg $47.92
895,805 claims
Office Visit
Avg $50.97
43,690 claims
Physical Therapy
Avg $16.96
39,251 claims
Speech Therapy
Avg $24.50
16,711 claims
Vaccines & Immunizations
Avg $3.93
12,449 claims
Ambulance Transport
Avg $51.45
9,893 claims
Podiatry (Foot Care)
Avg $7.36
7,618 claims
Blood Work & Lab Tests
Avg $9.59
5,840 claims