Average Medicaid Culture & Microbiology Tests Payments in Pottstown, PA: $3.50
Avg. Paid
$3.50
Range
$0.00 – $6.47
Total Claims
165
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 Pottstown, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Leah Hoffman
1610 Medical Dr Ste 105 |
$3.68 | 81 | 80 |
|
Charu Thakral
1600 E High St |
$6.47 | 42 | 18 |
|
Yardlie Toussaint-Foster
1590 Medical Dr Ste A |
$0.00 | 26 | 26 |
|
Charlyce J Wallington
800 Heritage Dr Ste 820 |
$0.47 | 16 | 13 |
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 Pottstown, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Pottstown, PA is $3.50 per claim, based on 165 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 Pottstown, PA?
There are 4 Medicaid providers offering Culture & Microbiology Tests related services in Pottstown, PA according to public payment data.
What is the price range for Culture & Microbiology Tests in Pottstown, PA?
Medicaid reimbursement for Culture & Microbiology Tests in Pottstown, PA ranges from $0.00 to $6.47 per claim, with an average of $3.50. 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 Pottstown, PA
Office Visit
Avg $39.94
96,350 claims
Physical Therapy
Avg $25.52
53,510 claims
Home Health Visit
Avg $94.65
40,094 claims
Speech Therapy
Avg $25.18
38,459 claims
Ambulance Transport
Avg $55.29
37,007 claims
Emergency Room Visit
Avg $110.51
33,179 claims
Vaccines & Immunizations
Avg $5.02
20,875 claims
Dental Cleaning & Exam
Avg $12.40
16,066 claims