Average Medicaid Culture & Microbiology Tests Payments in Roanoke, VA: $1.16
Avg. Paid
$1.16
Range
$0.00 – $15.75
Total Claims
53,919
Providers
26
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 Roanoke, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carilion Medical Center
1906 Belleview Ave Se |
$0.66 | 23,806 | 20,356 |
|
Kenneth Martin Algino
1 Riverside Cir |
$0.79 | 11,723 | 9,519 |
|
Dominion Pathology Associates Pc
1 Riverside Cir Ste 105 |
$0.18 | 6,981 | 5,849 |
|
Laboratory Corporation Of America Holdings
21 Highland Ave Se |
$2.87 | 4,620 | 4,336 |
|
Quest Diagnostics Clinical Laboratories Inc
1906 Belleview Ave Se |
$2.16 | 3,263 | 2,909 |
|
Solstas Lab Partners Llc
Belleview At Jefferson St |
$0.00 | 1,184 | 440 |
|
Commonwealth Of Virginia State Board Of Health
1502 Williamson Rd Ne |
$3.95 | 501 | 337 |
|
Natalie Hayes
4348 Electric Rd |
$15.75 | 421 | 396 |
|
Solstas Lab Partners Group Llc
1906 Belleview Ave Se |
$5.93 | 237 | 228 |
|
Floyd Randell Burton
21 Highland Ave Se Ste 100 |
$7.20 | 228 | 214 |
|
Kilian H. Brech
21 Highland Ave Se Ste 100 |
$7.72 | 205 | 201 |
|
David Phillip Lebel
1 Riverside Cir Ste 105 |
$0.99 | 116 | 113 |
|
Courtney Abrams
5610 Williamson Rd |
$6.30 | 115 | 113 |
|
Pragna Dhimant Sheth
1906 Belleview Ave Se |
$0.56 | 91 | 89 |
|
Tasha Kelly Francis
1906 Belleview Ave Se |
$4.36 | 90 | 86 |
|
Charles Timothy Via
1906 Belleview Ave Se |
$1.63 | 72 | 72 |
|
Lewisgale Medical Center, Llc
1423 W Ruritan Rd |
$0.00 | 57 | 53 |
|
Robert C Gard
21 Highland Ave Se |
$7.84 | 39 | 39 |
|
Katelin Caldwell
102 Highland Ave Se Ste 303 |
$4.51 | 31 | 30 |
|
Caroline Kramer
5303 Indian Grave Rd |
$4.87 | 28 | 19 |
|
Camron L Johnson Privitera
5000 Brambleton Ave Ste B |
$7.25 | 27 | 27 |
|
Daphne Elizabeth Damen
21 Highland Ave Se |
$7.42 | 26 | 25 |
|
Timothy H Hartzog
1906 Belleview Ave Se |
$10.33 | 19 | 19 |
|
Anna Battiata
902 S Jefferson St |
$4.90 | 13 | 13 |
|
Mary Ann Cox
21 Highland Ave Se |
$7.15 | 13 | 13 |
|
Roger Hofford
1314 Peters Creek Rd Nw |
$5.33 | 13 | 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 Roanoke, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Culture & Microbiology Tests in Roanoke, VA is $1.16 per claim, based on 53,919 claims from 26 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 Roanoke, VA?
There are 26 Medicaid providers offering Culture & Microbiology Tests related services in Roanoke, VA according to public payment data.
What is the price range for Culture & Microbiology Tests in Roanoke, VA?
Medicaid reimbursement for Culture & Microbiology Tests in Roanoke, VA ranges from $0.00 to $15.75 per claim, with an average of $1.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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