Average Medicaid Culture & Microbiology Tests Payments in Providence, RI: $4.14
Avg. Paid
$4.14
Range
$0.00 – $41.23
Total Claims
7,159
Providers
46
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coastal Medical Physicians, Inc.
10 Davol Sq Ste 300 |
$6.53 | 1,100 | 949 |
|
Altug Koymen
40 Candace St |
$3.27 | 921 | 881 |
|
Stephanie J Avila
355 Prairie Ave |
$3.23 | 915 | 888 |
|
Emily M. White
355 Prairie Ave |
$3.24 | 615 | 598 |
|
Megan T. Gaynor Charette
101 Dudley St |
$3.18 | 304 | 296 |
|
Melissa S. Mills
355 Prairie Ave |
$2.80 | 260 | 258 |
|
Jenny B Quilty
2 Dudley St |
$4.35 | 255 | 236 |
|
Sarah E. Gaines
593 Eddy St |
$3.32 | 199 | 197 |
|
Nelsy Robles
355 Prairie Ave |
$5.42 | 194 | 187 |
|
Elaine K. Parker-Williams
355 Prairie Ave |
$3.19 | 191 | 190 |
|
Angela T. Langley
355 Prairie Ave |
$3.12 | 191 | 189 |
|
Nicole D. Burns
355 Prairie Ave |
$3.26 | 190 | 170 |
|
Jenny R David
40 Candace St |
$3.30 | 156 | 154 |
|
Coastal Medical Inc
272 W Exchange St |
$6.15 | 137 | 109 |
|
Chad Peter Nevola
120 Dudley St Ste 105 |
$5.88 | 136 | 131 |
|
Lynn A Bowlby
245 Chapman St Ste 300 |
$3.73 | 129 | 118 |
|
Brittany Elizabeth Rosenfeld
101 Dudley St |
$4.84 | 118 | 88 |
|
Coastal Medical Inc
10 Davol Sq |
$7.76 | 118 | 106 |
|
Kathleen Ann O'Heelan
355 Prairie Ave |
$3.18 | 102 | 100 |
|
Anne L. Murray
1 Warren Way |
$3.23 | 91 | 91 |
|
Katherine S. Williams
355 Prairie Ave |
$3.42 | 87 | 83 |
|
Shideh Shafie
593 Eddy St |
$3.29 | 84 | 83 |
|
Katherine V Chadurjian
593 Eddy St |
$6.54 | 69 | 65 |
|
Tanya Sutcliffe
593 Eddy St |
$0.00 | 62 | 61 |
|
Ines A. Riera
175 Broad St |
$5.09 | 60 | 57 |
|
Ida M. Bernstein
1 Randall Sq |
$3.34 | 53 | 53 |
|
Cailyne Ghazarian
593 Eddy St |
$2.81 | 45 | 44 |
|
The Providence Community Health Centers, Inc.
375 Allens Ave |
$3.55 | 39 | 38 |
|
Dilek Cermik
40 Candace St |
$3.32 | 37 | 33 |
|
Meghan H Henry
101 Dudley St |
$5.46 | 37 | 35 |
|
Lisa Boyle
297 Promenade St |
$3.00 | 30 | 29 |
|
Nancy J Cocchiarella
297 Promenade St |
$3.17 | 24 | 24 |
|
Jennifer Hosmer
40 Candace St |
$3.54 | 21 | 20 |
|
Jason Schnetzler
593 Eddy St |
$1.23 | 21 | 18 |
|
Libertad T Flores
239 Cranston St |
$3.93 | 18 | 17 |
|
Nicole J. Saquet
434 Mount Pleasant Ave |
$3.35 | 16 | 16 |
|
Sarah Joseph
593 Eddy St |
$0.00 | 14 | 12 |
|
Katherene R Hofstetter
10 Dorrance St Ste 700 |
$3.29 | 14 | 14 |
|
Diana M. Afonso
355 Prairie Ave |
$2.83 | 14 | 14 |
|
Angela C Tang
18 Imperial Pl Unit 2D |
$41.23 | 14 | 14 |
|
Martha A Pizzarello
297 Promenade St |
$2.90 | 14 | 13 |
|
Beth Cronin
101 Dudley St |
$3.54 | 13 | 12 |
|
Yvette L. Oliveira
355 Prairie Ave |
$3.46 | 13 | 13 |
|
Erin E Dana
355 Prairie Ave |
$2.93 | 13 | 13 |
|
Cesar Mora Jaramillo
355 Prairie Ave |
$3.54 | 13 | 12 |
|
Elyse V. Trinh
31 Atwood St |
$3.54 | 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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Providence, RI is $4.14 per claim, based on 7,159 claims from 46 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 Providence, RI?
There are 46 Medicaid providers offering Culture & Microbiology Tests related services in Providence, RI according to public payment data.
What is the price range for Culture & Microbiology Tests in Providence, RI?
Medicaid reimbursement for Culture & Microbiology Tests in Providence, RI ranges from $0.00 to $41.23 per claim, with an average of $4.14. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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