Average Medicaid Culture & Microbiology Tests Payments in Madison, WI: $10.67
Avg. Paid
$10.67
Range
$0.09 – $13.64
Total Claims
133,810
Providers
23
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, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$12.23 | 69,616 | 52,489 |
|
Ssm Health Care Of Wisconsin, Inc
700 S. Park St. |
$6.65 | 24,599 | 21,367 |
|
Meriter Hospital, Inc.
202 S Park St |
$13.64 | 19,970 | 15,773 |
|
Ssm Health Care Of Wisconsin, Inc.
700 S. Park St. |
$9.80 | 10,646 | 8,645 |
|
Rakesh Mandal
600 Highland Ave |
$3.08 | 4,663 | 4,488 |
|
Planned Parenthood Of Wisconsin
2222 S Park St |
$5.59 | 1,911 | 1,835 |
|
Meriter Health Enterprises Inc.
36 S Brooks St |
$5.34 | 1,624 | 1,495 |
|
Matthew O'Connor
Uw Hospitals And Clinics |
$3.38 | 192 | 181 |
|
Nicholas Wilkie
Uw Hospital And Clinics |
$0.09 | 98 | 95 |
|
Jesus Trevino
600 Highland Ave |
$4.14 | 94 | 90 |
|
Laboratory Corporation Of America
3434 E Washington Ave |
$3.38 | 74 | 57 |
|
Laboratory Corporation Of America
2202 S Park St |
$2.54 | 73 | 56 |
|
Tessa N Warner
1821 S Stoughton Rd |
$1.34 | 65 | 29 |
|
Neszta Wahmhoff
4122 E Towne Blvd |
$1.17 | 27 | 27 |
|
Melissa A Haack
700 S Park St |
$5.65 | 27 | 25 |
|
Sarah Adams
2402 Winnebago St |
$5.14 | 26 | 26 |
|
Planned Parenthood Of Wisconsin
3706 Orin Rd |
$5.81 | 26 | 26 |
|
Kimberly D Day
1821 S Stoughton Rd |
$5.81 | 15 | 13 |
|
Timothy Duane Starner
5522 Dahlen Dr |
$0.72 | 14 | 13 |
|
Lee T Dresang
1102 S Park St Ste 100 |
$2.70 | 13 | 13 |
|
Erin Joan Booth Honig
675 W Washington Ave |
$6.63 | 13 | 13 |
|
Chad Martin Wagner
333 E Campus Mall Rm 5131 |
$10.64 | 12 | 12 |
|
Kaitlin Alexandra Kamer
675 W Washington Ave |
$9.14 | 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, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Madison, WI is $10.67 per claim, based on 133,810 claims from 23 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, WI?
There are 23 Medicaid providers offering Culture & Microbiology Tests related services in Madison, WI according to public payment data.
What is the price range for Culture & Microbiology Tests in Madison, WI?
Medicaid reimbursement for Culture & Microbiology Tests in Madison, WI ranges from $0.09 to $13.64 per claim, with an average of $10.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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